Individual provider Active NPI

Rebecca Louise Emerson, NP

  • Pediatric Nurse Practitioner
  • Union, SC
National Provider Identifier
1649689720
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
28044 Issued in SC
Practice address
407 W South St
Union, SC 29379-2771
Phone
(864) 429-8846
Fax
(864) 429-9093
NPI assigned
Aug 4, 2014
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5007060 NC
Pediatric Nurse Practitioner 363LP0200X 28044 SC Primary

Addresses

Primary practice location

407 W South St
Union, SC 29379-2771

Mailing address

PO Box 2168
Spartanburg, SC 29304-2168
Phone (864) 560-4304

Other identifiers 2

IdentifierTypeStateIssuer
NP6679MedicaidSC
SCR298H985OtherSCMEDICARE PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address remerson264714@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20200404000026 NC Practitioner - Nurse Practitioner 0840574091 Reassigns benefits to 1 organization
I20231031002262 SC Practitioner - Nurse Practitioner 0840574091 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28044SCMDFamily Medicine Physician
5007060NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center Current Accepting new patients
Carolinas Medical Center CurrentSince Feb 3, 2020 Accepting new patients
Union Medical Center CurrentSince Oct 20, 2023 Accepting new patients
Union Medical Center CurrentSince Oct 20, 2023 Accepting new patients
Union Medical Center Current Accepting new patients
Carolinas Medical Center CurrentSince Feb 3, 2020 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

1201 Furman L Fendley Hwy
Ste B
Union, SC 29379
Phone (864) 429-8846

322 W South St
Union, SC 29379
Phone (864) 301-2000

407 W South St
Union, SC 29379
Phone (864) 427-4993

Interoperability endpoints

  • Direct secure messaging: remerson264714@direct-srhs.et0939.epichosted.com
  • Direct secure messaging: remerson99149@direct.novanthealth.org

Organizations & group practices 6

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": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1649689720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293042168",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W SOUTH ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792771",
            "telephone_number": "864-429-8846",
            "fax_number": "864-429-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "REBECCA",
        "middle_name": "LOUISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5007060",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "28044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP6679",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCR298H985",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "remerson264714@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "remerson264714@direct-srhs.et0939.epichosted.com",
            "address_1": "407 W South St",
            "city": "Union",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293792771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Union, SC

Sources for this page

Verify at the official NPI Registry.