Individual provider Active NPI

Rebekah Suzanne Hillis, FNP-BC

  • Family Nurse Practitioner
  • Crossville, TN
National Provider Identifier
1609192368
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000014775 Issued in TN
Practice address
49 Cleveland Street
Suite 270
Crossville, TN 38555-2856
Phone
(931) 484-7596
Fax
(931) 484-7597
NPI assigned
Apr 20, 2010
Last updated
Dec 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14775 TN
Family Nurse Practitioner 363LF0000X APN0000014775 TN Primary

Addresses

Primary practice location

49 Cleveland Street
Suite 270
Crossville, TN 38555-2856

Mailing address

49 Cleveland Street
Suite 270
Crossville, TN 38555-2856
Phone (931) 484-7596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14775TNMDPhysical Therapist
APN0000014775TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Exac Care, PLLC CurrentSince Apr 27, 2013 Accepting new patients

Locations

229 Interstate Dr
Ste 103
Crossville, TN 38555
Phone (931) 210-5577

Organizations & group practices 1

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1609192368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CLEVELAND STREET",
            "address_2": "SUITE 270",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385552856",
            "telephone_number": "931-484-7596",
            "fax_number": "931-484-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CLEVELAND STREET",
            "address_2": "SUITE 270",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385552856",
            "telephone_number": "931-484-7596",
            "fax_number": "931-484-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIS",
        "first_name": "REBEKAH",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14775",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000014775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.