Individual provider Active NPI

Rebekah S Corey, NP

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1790862886
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
07007 Issued in TN
Practice address
6043 Shallowford Rd Ste 113
Chattanooga, TN 37421-1653
Phone
(423) 698-1791
Fax
(423) 698-4588
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 07007 TN Primary

Addresses

Primary practice location

6043 Shallowford Rd Ste 113
Chattanooga, TN 37421-1653

Mailing address

6043 Shallowford Rd Ste 113
Chattanooga, TN 37421-1653
Phone (423) 698-1791

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050912000189 TN Practitioner - Nurse Practitioner 6002849015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6043 Shallowford Rd
Suite 113
Chattanooga, TN 37421-1688
Phone (423) 698-1791

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
07007TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Care and Management CurrentSince Mar 18, 2011 Accepting new patients
Galen Medical Group, PC PastSince Dec 1, 1993 Accepting new patients

Locations

6043 Shallowford Rd
Ste 113
Chattanooga, TN 37421
Phone (423) 698-1791

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1790862886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 SHALLOWFORD RD STE 113",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211653",
            "telephone_number": "423-698-1791",
            "fax_number": "423-698-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 SHALLOWFORD RD STE 113",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211653",
            "telephone_number": "423-698-1791",
            "fax_number": "423-698-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREY",
        "first_name": "REBEKAH",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "07007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.