Individual provider Active NPI

Rebecca S Luther, APRN

  • Family Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1831573468
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004460 Issued in AR
Practice address
500 S 52ND St
Rogers, AR 72758-8600
Phone
(479) 254-9662
Fax
(479) 254-9652
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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 A004460 AR Primary

Addresses

Primary practice location

500 S 52ND St
Rogers, AR 72758-8600

Mailing address

500 S 52ND St
Rogers, AR 72758-8600
Phone (479) 254-9662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20150918001145 AR Practitioner - Nurse Practitioner 7113234493 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Regional Vein Center, LLC CurrentSince Aug 19, 2017 Accepting new patients
Bon Secours-Virginia Healthsource Past Accepting new patients

Locations

5433 W Walsh Ln
Rogers, AR 72758
Phone (479) 464-8346

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": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1831573468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 52ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588600",
            "telephone_number": "479-254-9662",
            "fax_number": "479-254-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 52ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588600",
            "telephone_number": "479-254-9662",
            "fax_number": "479-254-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHER",
        "first_name": "REBECCA",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.