Rebecca D Gayheart, FNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP7971 Issued in AZ

Practice address

1755 Airway Ave
Kingman, AZ 86409-3620

Phone

(928) 681-1234

Fax

(928) 681-1811

NPI assigned

May 5, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Camden Clark Memorial Hospital Corporation

  • General Acute Care Hospital
  • Parkersburg, WV
  • NPI 1699704254
  NPD (past)

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1770960296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 ANN ST",
            "address_2": "SUITE B368",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015122",
            "telephone_number": "304-424-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 AIRWAY AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093620",
            "telephone_number": "928-681-1234",
            "fax_number": "928-681-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYHEART",
        "first_name": "REBECCA",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP7971",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP7971",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Renee Garcia, DO
• Robert Antonio Garcia, PT, DPT
• Ann Marie Garibaldi, PA-C
• Lynnette Garman, AGACNP-BC
• Vera Susanne Gaspar, LCSW
• Ermias A. Gebre, MD
• Justin Geisler, DPT
• Jeffrey Robert Geller, D.P.T.
• Genoa Healthcare LLC
• Lauri Alicia Geverink

• Adult Health Nurse Practitioner in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.