Individual provider Active NPI

Rebecca Anne Zadeh

  • Nurse Practitioner
  • Sanford, NC
National Provider Identifier
1609443316
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5016513 Issued in NC
Practice address
1303 Carthage St
Sanford, NC 27330-8984
Phone
(919) 292-2468
Fax
(919) 292-2167
NPI assigned
Jun 10, 2021
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5016513 NC Primary

Addresses

Primary practice location

1303 Carthage St
Sanford, NC 27330-8984

Mailing address

600 Moye Blvd
Greenville, NC 27834-4300
Phone (252) 744-6478

Other practice location 1

600 Moye Blvd
Greenville, NC 27834-4300
Phone (252) 744-6478

Other practice location 2

2304 Wesvill Ct Ste 320
Raleigh, NC 27607-2973
Phone (919) 825-3902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221019002541 NC Practitioner - Nurse Practitioner 5496121204 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5016513NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Pain Associates, PLLC CurrentSince Jul 25, 2022 Accepting new patients

Locations

2304 Wesvill Ct
Ste 320
Raleigh, NC 27607
Phone (919) 825-3902

1303 Carthage St
Sanford, NC 27330
Phone (919) 292-2468

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16137/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rebecca.zadeh.1@16137.direct.athenahealth.com

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1609443316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MOYE BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344300",
            "telephone_number": "252-744-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273308984",
            "telephone_number": "919-292-2468",
            "fax_number": "919-292-2167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Moye Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278344300",
            "country_code": "US",
            "telephone_number": "252-744-6478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2304 Wesvill Ct Ste 320",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276072973",
            "country_code": "US",
            "telephone_number": "919-825-3902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZADEH",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5016513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.