Individual provider Active NPI

Rebecca Youngblood Kershner, WHNP-BC

  • Women's Health Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1598068637
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN207255 Issued in GA
Practice address
950 Laney Walker Blvd
Augusta, GA 30901-2960
Phone
(706) 721-5931
NPI assigned
Dec 13, 2010
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN207255 GA
Women's Health Nurse Practitioner 363LW0102X RN207255 GA Primary

Addresses

Primary practice location

950 Laney Walker Blvd
Augusta, GA 30901-2960

Mailing address

1916 N Leg Rd BLDG a
Augusta, GA 30909-4402
Phone (706) 667-4285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN207255GAMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Glascock County Board of Health Past Accepting new patients
Wilkes County Board of Health PastSince Jun 22, 2022 Accepting new patients
Columbia County Board of Health PastSince Oct 1, 2021 Accepting new patients
Taliaferro County Board of Health Past Accepting new patients
Warren County Board of Health PastSince Oct 21, 2022 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1598068637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 N LEG RD BLDG A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094402",
            "telephone_number": "706-667-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 LANEY WALKER BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012960",
            "telephone_number": "706-721-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSHNER",
        "first_name": "REBECCA",
        "middle_name": "YOUNGBLOOD",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "GA",
            "license": "RN207255",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN207255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.