Individual provider Active NPI

Rekai Dawn Withrow, FNP-BC

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1871098343
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2018000043 Issued in WV
Practice address
1431 Centerpoint Blvd Ste 100
Knoxville, TN 37932-1983
Phone
(888) 203-1274
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2018000043 WV Primary
Emergency Medicine Physician 207P00000X 2018000043 WV

Addresses

Primary practice location

1431 Centerpoint Blvd Ste 100
Knoxville, TN 37932-1983

Mailing address

118 Levi LN
Beckley, WV 25801-1108
Phone (304) 860-9223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20180612000350 WV Practitioner - Nurse Practitioner 3072868272 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018000043WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Emergency Services, Inc. Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
GR&W, Inc CurrentSince Dec 6, 2021 Accepting new patients
GR&W, Inc PastSince Nov 18, 2025 Accepting new patients

Locations

124 Brookshire Ln
Beckley, WV 25801
Phone (304) 252-8551

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

1005 White Willow Way
Morgantown, WV 26505
Phone (304) 212-7238

1100 Main St
Ste 104
Wheeling, WV 26003
Phone (304) 443-1414

Organizations & group practices 3

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1871098343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 LEVI LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258011108",
            "telephone_number": "304-860-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 CENTERPOINT BLVD STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321983",
            "telephone_number": "888-203-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHROW",
        "first_name": "REKAI",
        "middle_name": "DAWN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "2018000043",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "2018000043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.