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
- 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 |
|---|---|---|---|
| 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 |
| RN-72322 | NM | MD | Student in an Organized Health Care Education/Training Program |
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 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.