Active NPI
Rebecca Leigh Quilliams, MSN, FNP-C, RN
- Family Nurse Practitioner
- Pigeon Forge, TN
National Provider Identifier
1710297809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 30221
- Practice address
- 2656 Parkway Ste 4
Pigeon Forge, TN 37863-3392 - Phone
- (865) 366-3264
- NPI assigned
- Oct 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 0000165542 | TN | |
| Family Nurse Practitioner | 363LF0000X | 30221 | TN | Primary |
Addresses
Primary practice location
2656 Parkway Ste 4
Pigeon Forge, TN 37863-3392
Mailing address
1022 Tittsworth Springs Rd
Seymour, TN 37865-6007
Phone (865) 640-1290
Other practice location 1
100 Cheyenne Ave
Lame Deer, MT 59043
Phone (406) 477-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1015 E Pkwy
Gatlinburg, TN 37738-5057
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000165542 | TN | MD | Emergency Registered Nurse |
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.
-
dba Urgent Care of the Smokies
- Urgent Care Clinic/Center
- Gatlinburg, TN
- NPI 1407209000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630195200000",
"number": "1710297809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 TITTSWORTH SPRINGS RD",
"city": "SEYMOUR",
"state": "TN",
"postal_code": "378656007",
"telephone_number": "865-640-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2656 PARKWAY STE 4",
"city": "PIGEON FORGE",
"state": "TN",
"postal_code": "378633392",
"telephone_number": "865-366-3264"
}
],
"practiceLocations": [
{
"address_1": "100 CHEYENNE AVE",
"address_purpose": "LOCATION",
"city": "LAME DEER",
"state": "MT",
"postal_code": "59043",
"country_code": "US",
"telephone_number": "406-477-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUILLIAMS",
"first_name": "REBECCA",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "MSN, FNP-C, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-07",
"last_updated": "2021-08-29",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "TN",
"license": "0000165542",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "30221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pigeon Forge, TN
- Pigeon Forge TN Opco LLC
- Premise Health of Ohio Medical, P.a (Dollywood Family Healthcare Center)
- Pro Therapy Services of East Tennessee
- Publix Tennessee LLC (Publix Pharmacy #1515)
- Pulmacare Inc
- Joshua David Reppert, DPT
- Pamela Rhiel, CNP
- Gary David Runyon, PHARM.D.
- Megan Brooke Shults, PT, DPT
- SM Healthcare Op LLC (Smoky Mountain Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.