Active NPI
Rebecca Sherrill Luckett, AGACNP-BC
- Gerontology Nurse Practitioner
- Decatur, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 23525
- Practice address
- 1872 Beltline Road SW
Decatur, AL 35603 - Phone
- (615) 973-6672
- Fax
- (256) 973-6673
- NPI assigned
- Nov 15, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 23525 | TN | |
| Acute Care Nurse Practitioner | 363LA2100X | 23525 | TN | |
| Gerontology Nurse Practitioner | 363LG0600X | 23525 | TN | Primary |
Addresses
Primary practice location
1872 Beltline Road SW
Decatur, AL 35603
Mailing address
1874 Beltline Rd SW
Decatur, AL 35601-5514
Phone (569) 736-6722
Other names 1
- Rebecca Ann Sherrill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2111 Cloyd Blvd
Florence, AL 35630-1503
Phone (256) 768-8600
Hospital & facility affiliations
- Centerwell Home Health
- North Alabama Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23525 | TN | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanderbilt University Medical Center | Current | Accepting new patients | |
| Ecm Health Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Ecm Health Group LLC | Current | Accepting new patients |
Locations
541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098
541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026
2111 Cloyd Blvd
Florence, AL 35630
Phone (205) 767-8700
Dept A T 40379
Atlanta, GA 31192
3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842
719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485
719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Florence, AL
- NPI 1346588852
Nurse Practitioner
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1104202761
-
- Rural Health Clinic/Center
- Killen, AL
- NPI 1811516925
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Moulton, AL
- NPI 1376572081
-
- General Acute Care Hospital
- Florence, AL
- NPI 1477874337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1780197426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1874 BELTLINE RD SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356015514",
"telephone_number": "569-736-6722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1872 BELTLINE ROAD SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "35603",
"telephone_number": "615-973-6672",
"fax_number": "256-973-6673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKETT",
"first_name": "REBECCA",
"middle_name": "SHERRILL",
"name_prefix": "Mrs.",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-15",
"last_updated": "2024-02-26",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "23525",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "23525",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TN",
"license": "23525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "SHERRILL",
"middle_name": "ANN",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.