Active NPI
Rebecca Lyne Ratliff, NURSE PRACTITIONER
- Nurse Practitioner
- Beckley, WV
National Provider Identifier
1851936629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 104796
- Practice address
- 121 George St
Beckley, WV 25801-2607 - Phone
- (304) 250-0382
- Fax
- (304) 250-0382
- NPI assigned
- Nov 15, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 104796 | WV | |
| Nurse Practitioner | 363L00000X | 104796 | WV | Primary |
Addresses
Primary practice location
121 George St
Beckley, WV 25801-2607
Mailing address
121 George St
Beckley, WV 25801-2607
Phone (304) 250-0382
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104796 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain State Vascular, Inc. | Current | Accepting new patients | |
| Beckley Vascular Associates PLLC | Past | Accepting new patients |
Locations
121 George St
Beckley, WV 25801
Phone (304) 250-0382
Interoperability endpoints
- rebecca.ratliff@wvafn.hcadirect.net
- rebecca.ratliff.1@14333.direct.athenahealth.com
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.
-
- Vascular Surgery Physician
- Beckley, WV
- NPI 1104318625
-
- Vascular Surgery Physician
- Beckley, WV
- NPI 1285814640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614384000000",
"number": "1851936629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 GEORGE ST",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012607",
"telephone_number": "304-250-0382",
"fax_number": "304-250-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 GEORGE ST",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258012607",
"telephone_number": "304-250-0382",
"fax_number": "304-250-0382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATLIFF",
"first_name": "REBECCA",
"middle_name": "LYNE",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-15",
"last_updated": "2021-02-27",
"certification_date": "2021-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "104796",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "104796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.