Individual provider Active NPI

Rebecca Kathleen Kizer, APRN, FNP-BC, CFNC

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1699154245
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1059207 Issued in TX
Practice address
3303 N Frankford Ave
Lubbock, TX 79416-9626
Phone
(806) 999-6534
Fax
(800) 421-8110
NPI assigned
May 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
C-APN.0100710-C-NPCOMDFamily Nurse Practitioner
APRN11027121FLMDFamily Nurse Practitioner
2000165273MOMDFamily Nurse Practitioner
65889NMMDFamily Nurse Practitioner
1059207TXMDFamily Nurse Practitioner
RN-72322NMMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Fos Wellness, LTD Nutrition Support CurrentSince Sep 28, 2021 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.