Active NPI
Rebecca Kathleen Kizer, APRN, FNP-BC, CFNC
- Family Nurse Practitioner
- Lubbock, TX
National Provider Identifier
1699154245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1059207
- Practice address
- 3303 N Frankford Ave
Lubbock, TX 79416-9626 - Phone
- (806) 999-6534
- Fax
- (800) 421-8110
- NPI assigned
- May 28, 2015
- Last updated
- Oct 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Support Registered Nurse | 163WN1003X | RN-72322 | NM | |
| Family Nurse Practitioner | 363LF0000X | 65889 | NM | |
| Family Nurse Practitioner | 363LF0000X | C-APN.0100710-C-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | APRN11027121 | FL | |
| Family Nurse Practitioner | 363LF0000X | 2000165273 | MO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | RN-72322 | NM | |
| Family Nurse Practitioner | 363LF0000X | 1059207 | TX | Primary |
Addresses
Primary practice location
3303 N Frankford Ave
Lubbock, TX 79416-9626
Mailing address
3427 N FM Road 2130
Anton, TX 79313-8705
Phone (806) 999-6534
Other practice location 1
3427 N FM Road 2130
Anton, TX 79313-8705
Phone (806) 999-6534
Other practice location 2
1698 S Roosevelt Road 13
Portales, NM 88130-8705
Phone (575) 607-8703
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-72322 | NM | MD | Nutrition Support Registered Nurse |
| C-APN.0100710-C-NP | CO | MD | Family Nurse Practitioner |
| APRN11027121 | FL | MD | Family Nurse Practitioner |
| 2000165273 | MO | MD | Family Nurse Practitioner |
| 65889 | NM | MD | Family Nurse Practitioner |
| 1059207 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fos Wellness, LTD | Nutrition Support | Current | Accepting new patients |
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.
-
dba Trinity Christian Care
- Family Nurse Practitioner
- Portales, NM
- NPI 1982185948
Nutrition Support
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1699154245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3427 N FM ROAD 2130",
"city": "ANTON",
"state": "TX",
"postal_code": "793138705",
"telephone_number": "806-999-6534",
"fax_number": "800-421-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 N FRANKFORD AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794169626",
"telephone_number": "806-999-6534",
"fax_number": "800-421-8110"
}
],
"practiceLocations": [
{
"address_1": "3427 N FM Road 2130",
"address_purpose": "LOCATION",
"city": "Anton",
"state": "TX",
"postal_code": "793138705",
"country_code": "US",
"telephone_number": "806-999-6534",
"fax_number": "800-421-8110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1698 S Roosevelt Road 13",
"address_purpose": "LOCATION",
"city": "Portales",
"state": "NM",
"postal_code": "881308705",
"country_code": "US",
"telephone_number": "575-607-8703",
"fax_number": "800-421-8110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIZER",
"first_name": "REBECCA",
"middle_name": "KATHLEEN",
"credential": "APRN, FNP-BC, CFNC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2024-10-21",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": "NM",
"license": "RN-72322",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "65889",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-APN.0100710-C-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11027121",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2000165273",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": "RN-72322",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1059207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.