Active NPI
Rebekah Livingston Swink, M.D.
- Family Medicine Physician
- Elizabethton, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 46717
- Practice address
- 1505 W Elk Ave
Suite 2
Elizabethton, TN 37643-2848 - Phone
- (423) 543-1261
- Fax
- (423) 543-7500
- NPI assigned
- Aug 30, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 46717 | TN | Primary |
Addresses
Primary practice location
1505 W Elk Ave
Suite 2
Elizabethton, TN 37643-2848
Mailing address
1505 W Elk Ave
Suite 2
Elizabethton, TN 37643-2848
Phone (423) 543-1261
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6050324 | Other | TN | BCBS |
| 1522343 | Medicaid | TN |
Other names 1
- Rebekah Ann Livingston
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46717 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Family Medicine | Current | Accepting new patients |
| Covenant Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Family Medicine | Current | Accepting new patients |
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Cherokee Health Systems | Family Medicine | Past | Accepting new patients |
Locations
1505 W Elk Ave
Ste 2
Elizabethton, TN 37643
Phone (423) 543-1261
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867
Dept 888179
Knoxville, TN 37995
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
-
- Family Medicine Physician
- Elizabethton, TN
- NPI 1457693996
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- Federally Qualified Health Center (FQHC)
- Talbott, TN
- NPI 1134128820
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1801080171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 W ELK AVE",
"address_2": "SUITE 2",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376432848",
"telephone_number": "423-543-1261",
"fax_number": "423-543-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 W ELK AVE",
"address_2": "SUITE 2",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376432848",
"telephone_number": "423-543-1261",
"fax_number": "423-543-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWINK",
"first_name": "REBEKAH",
"middle_name": "LIVINGSTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "46717",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "6050324",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1522343",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBEKAH",
"last_name": "LIVINGSTON",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elizabethton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.