NPIMap

Individual provider Active NPI

Rebekah Celeste Reynolds, NP-C

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1891337093
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903470 Issued in MS
Practice address
1020 N Flowood Dr Ste a
Flowood, MS 39232-9532
Phone
(601) 933-6132
Fax
(601) 933-6139
NPI assigned
Oct 9, 2019
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 903470 MS Primary

Addresses

Primary practice location

1020 N Flowood Dr Ste a
Flowood, MS 39232-9532

Mailing address

PO Box 321359
Flowood, MS 39232-1359
Phone (601) 936-1395

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebekah.reynolds.1@4695.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191107001373 MS Practitioner - Nurse Practitioner 0345672689 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
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1020 N Flowood Dr
Flowood, MS 39232-9532

1026 N Flowood Dr
Flowood, MS 39232-9532
Phone (601) 932-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
River Oaks Management Company, LLC CurrentSince Jan 1, 2024 Accepting new patients
Reservoir Family Medical Clinic, PA Current Accepting new patients
River Oaks Management Company LLC Nurse Practitioner Current Accepting new patients
Careplus Lakeview Family Medicine CurrentSince Jan 1, 2024 Accepting new patients

Locations

1020 N Flowood Dr
Ste A
Flowood, MS 39232
Phone (601) 933-6132

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7115/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rebekah.reynolds.1@4695.direct.athenahealth.com

Organizations & group practices 4

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 8

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": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1891337093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321359",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392321359",
            "telephone_number": "601-936-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N FLOWOOD DR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329532",
            "telephone_number": "601-933-6132",
            "fax_number": "601-933-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "REBEKAH",
        "middle_name": "CELESTE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebekah.reynolds.1@4695.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1020 N Flowood Dr Ste A",
            "city": "Flowood",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392329532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.