Active NPI
Rebecca K Johnson, APN
- Gerontology Nurse Practitioner
- Little Rock, AR
National Provider Identifier
1811967409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- A01856
- Practice address
- 4300 W 7TH St
Home Health Care Service 11HC/LR
Little Rock, AR 72205-5446 - Phone
- (501) 257-5080
- Fax
- (501) 224-0851
- NPI assigned
- Jan 25, 2006
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | A01856 | AR | Primary |
Addresses
Primary practice location
4300 W 7TH St
Home Health Care Service 11HC/LR
Little Rock, AR 72205-5446
Mailing address
4300 W 7TH St
Home Health Care Service 11HC/LR
Little Rock, AR 72205-5446
Phone (501) 257-5080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1811967409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 W 7TH ST",
"address_2": "HOME HEALTH CARE SERVICE 11HC/LR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055446",
"telephone_number": "501-257-5080",
"fax_number": "501-224-0851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 W 7TH ST",
"address_2": "HOME HEALTH CARE SERVICE 11HC/LR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055446",
"telephone_number": "501-257-5080",
"fax_number": "501-224-0851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "REBECCA",
"middle_name": "K",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AR",
"license": "A01856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.