Individual provider Active NPI

Rebecca J Cooksey, NP

  • Family Nurse Practitioner
  • Century, FL
National Provider Identifier
1861072472
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010810 Issued in FL
Practice address
6021 Industrial Blvd
Century, FL 32535-3312
Phone
(850) 724-4064
Fax
(850) 724-4495
NPI assigned
Apr 9, 2021
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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 APRN11010810 FL Primary

Addresses

Primary practice location

6021 Industrial Blvd
Century, FL 32535-3312

Mailing address

6021 Industrial Blvd
Century, FL 32535-3312
Phone (850) 724-4064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220114000956 AL Practitioner - Nurse Practitioner 9931591310 Reassigns benefits to 1 organization
I20230625000012 FL Practitioner - Nurse Practitioner 9931591310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Escambia Community Clinics IncGroup PAC ID 9638165806, 36 clinicians

Practice addresses (Care Compare)

2315 W Jackson St
Pensacola, FL 32505-7552
Phone (850) 436-4630

6671 Caroline St
Milton, FL 32570-4781
Phone (850) 891-9433

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Escambia Community Clinics Inc Current Accepting new patients
Rural Urgent Care LLC CurrentSince Dec 10, 2021 Accepting new patients
Escambia Community Clinics, Inc CurrentSince Jul 17, 2023 Accepting new patients
Escambia Community Clinics Inc CurrentSince Jul 17, 2023 Accepting new patients
Rural Urgent Care LLC Family Medicine CurrentSince Dec 10, 2021 Accepting new patients
Escambia Community Clinics, Inc Past Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

2134 Douglas Ave
Brewton, AL 36426
Phone (251) 236-4026

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775

6021 Industrial Blvd
Century, FL 32535
Phone (850) 724-4064

5520 Stewart St
Milton, FL 32570
Phone (850) 891-9433

6671 Caroline St
Milton, FL 32570
Phone (850) 564-7722

1400 N Palafox St
Pensacola, FL 32501
Phone (850) 444-9449

2315 W Jackson St
Pensacola, FL 32505
Phone (850) 495-3955

350 W Herman St
Pensacola, FL 32505
Phone (850) 332-5900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1861072472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 INDUSTRIAL BLVD",
            "city": "CENTURY",
            "state": "FL",
            "postal_code": "325353312",
            "telephone_number": "850-724-4064",
            "fax_number": "850-724-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 INDUSTRIAL BLVD",
            "city": "CENTURY",
            "state": "FL",
            "postal_code": "325353312",
            "telephone_number": "850-724-4064",
            "fax_number": "850-724-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKSEY",
        "first_name": "REBECCA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Century, FL

Sources for this page

Verify at the official NPI Registry.