Individual provider Active NPI

Rebecca Ellen Woodbury

  • Family Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1780225599
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012350 Issued in NC
Practice address
2874 S NC 127 Hwy
Hickory, NC 28602-9131
Phone
(828) 294-4100
Fax
(828) 294-4112
NPI assigned
Oct 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5012350 NC Primary

Addresses

Primary practice location

2874 S NC 127 Hwy
Hickory, NC 28602-9131

Mailing address

2874 S NC 127 Hwy
Hickory, NC 28602-9131
Phone (828) 294-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200202000032 NC Practitioner - Family Practice 3779919220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, shared by 13 NPIs, 212 clinicians

Practice addresses (Care Compare)

401 Mulberry St SW
Lenoir, NC 28645-5463

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital, Inc. CurrentSince May 22, 2024 Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince May 22, 2024 Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince May 22, 2024 Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Caldwell Memorial Hospital, Inc Past Accepting new patients

Locations

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

401 Mulberry St SW
Ste 202
Lenoir, NC 28645
Phone (828) 757-6146

401 Mulberry St SW
Ste 210
Lenoir, NC 28645
Phone (828) 757-5517

1031 Morganton Blvd SW
Ste B
Lenoir, NC 28645
Phone (828) 757-6200

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1780225599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2874 S NC 127 HWY",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029131",
            "telephone_number": "828-294-4100",
            "fax_number": "828-294-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 S NC 127 HWY",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029131",
            "telephone_number": "828-294-4100",
            "fax_number": "828-294-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBURY",
        "first_name": "REBECCA",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.