Individual provider Active NPI

Rebecca Dover Wilson, DNP, FNP-BC

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1639585797
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24187 Issued in TN
Practice address
2011 Murphy Ave Ste 601
Nashville, TN 37203-2220
Phone
(615) 284-2988
Fax
(615) 284-2995
NPI assigned
Jul 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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 339327 NY
Family Nurse Practitioner 363LF0000X 24187 TN Primary

Addresses

Primary practice location

2011 Murphy Ave Ste 601
Nashville, TN 37203-2220

Mailing address

300 20TH Ave N Ste 403
Nashville, TN 37203-5180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160316001690 NY Practitioner - Nurse Practitioner 8921304924 Reassigns benefits to 1 organization
I20180926003229 TN Practitioner - Nurse Practitioner 8921304924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
339327NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Dec 11, 2019 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Dec 29, 2015 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Dec 29, 2015 Accepting new patients

Locations

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

279 E 3rd St
New York, NY 10009
Phone (212) 477-8500

2755 New Salem Hwy
Ste 201
Murfreesboro, TN 37128
Phone (615) 284-3060

300 20th Ave N
Ste 302
Nashville, TN 37203
Phone (615) 284-2988

2100 Church St
Ste 200
Nashville, TN 37203
Phone (615) 284-3060

2011 Murphy Ave
Ste 601
Nashville, TN 37203
Phone (615) 301-6610

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

Interoperability endpoints

  • Direct secure messaging: rebecca.wilson.1@7654.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1639585797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 403",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035180",
            "fax_number": "615-284-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 MURPHY AVE STE 601",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032220",
            "telephone_number": "615-284-2988",
            "fax_number": "615-284-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "REBECCA",
        "middle_name": "DOVER",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339327",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.