Active NPI
Rebecca Kate Percy, MD
- Pediatrics Physician
- Edwards, CO
National Provider Identifier
1710277322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0053936
- Practice address
- 320 Beard Creek Rd
Edwards, CO 81632-6426 - Phone
- (970) 945-2840
- Fax
- (970) 945-9581
- NPI assigned
- Apr 15, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 208000000X | UT | |
| Pediatrics Physician | 208000000X | 0053936 | CO | Primary |
Addresses
Primary practice location
320 Beard Creek Rd
Edwards, CO 81632-6426
Mailing address
2700 Gilstrap CT
#230
Glenwood Springs, CO 81601-8735
Phone (970) 945-2840
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0053936 | CO | MD | Pediatrics Physician |
| 208000000X | UT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Castle Valley Children'S Clinic | Pediatrics | Past | Accepting new patients |
| Castle Valley Children'S Clinic | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1710277322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 GILSTRAP CT",
"address_2": "#230",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816018735",
"telephone_number": "970-945-2840",
"fax_number": "970-945-9581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 BEARD CREEK RD",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816326426",
"telephone_number": "970-945-2840",
"fax_number": "970-945-9581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERCY",
"first_name": "REBECCA",
"middle_name": "KATE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-15",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "208000000X",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "0053936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edwards, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.