Individual provider Active NPI

Rebecca Priode, APRN

  • Gerontology Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1962041715
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
3013259 Issued in KY
Practice address
330 21St St
Ashland, KY 41101-7726
Phone
(606) 325-6493
Fax
(606) 324-9101
NPI assigned
Dec 26, 2019
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 3013259 KY Primary

Addresses

Primary practice location

330 21St St
Ashland, KY 41101-7726

Mailing address

330 21St St
Ashland, KY 41101-7726
Phone (606) 325-6493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200205002594 KY Practitioner - Nurse Practitioner 9830525179 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

Practice addresses (Care Compare)

2154 Carter Ave
Suite a
Ashland, KY 41101-7739
Phone (606) 939-4773

305 Deephole Branch Rd
Louisa, KY 41230-8065

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Wound Solutions, PLLC Gerontology CurrentSince Feb 1, 2021 Accepting new patients

Locations

2154 Carter Ave
Ste A
Ashland, KY 41101
Phone (606) 324-6494

330 21st St
Ashland, KY 41101
Phone (606) 325-4697

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23445/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rebecca.priode.1@23445.direct.athenahealth.com

Organizations & group practices 1

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 2

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": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1962041715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 21ST ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017726",
            "telephone_number": "606-325-6493",
            "fax_number": "606-324-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 21ST ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017726",
            "telephone_number": "606-325-6493",
            "fax_number": "606-324-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIODE",
        "first_name": "REBECCA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2024-01-11",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3013259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.