Rebecca Ann Umphers, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9371090 Issued in FL

Practice address

14550 Old Saint Augustine Rd
Jacksonville, FL 32258-2460

Phone

(904) 271-6000

NPI assigned

Jul 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Ann Adams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1700495702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8272 HONEYSUCKLE LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446105",
            "telephone_number": "904-447-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 OLD SAINT AUGUSTINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582460",
            "telephone_number": "904-271-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMPHERS",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9371090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "ADAMS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Corine Grace Umali
• Debra Umbdenstock
• Umc Wekiva Springs
• Nnonye Umerah, OTR/L
• Ogechukwu Umerah, PHARM.D.
• Kimberly Wood Umstead, PT
• Underhill Staffing, Inc.
• Steven J Underkofler, D.M.D.
• James Austin Underwood, MD
• Kimberly M Underwood, PT

• Registered Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.