Active NPI
Rebecca Mills Myrick, RN
- Psychiatric/Mental Health Registered Nurse
- Pinehurst, NC
National Provider Identifier
1962521872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 68811
- Practice address
- 205 Memorial Drive
Pinehurst, NC 28370 - Phone
- (910) 295-6853
- Fax
- (910) 295-9183
- NPI assigned
- Mar 29, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 68811 | NC | Primary |
Addresses
Primary practice location
205 Memorial Drive
Pinehurst, NC 28370
Mailing address
1120 7 LKS N
PO Box 9
West End, NC 27376-9756
Phone (910) 673-9111
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68811 | NC | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandhills Center for Mental Health, Developmental Disabilities and Sub | Past | Accepting new patients | |
| Sandhills Center for MH/DD/Sas | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West End, NC
- NPI 1659398444
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West End, NC
- NPI 1871679449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962521872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 7 LKS N",
"address_2": "PO BOX 9",
"city": "WEST END",
"state": "NC",
"postal_code": "273769756",
"telephone_number": "910-673-9111",
"fax_number": "910-673-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 MEMORIAL DRIVE",
"city": "PINEHURST",
"state": "NC",
"postal_code": "28370",
"telephone_number": "910-295-6853",
"fax_number": "910-295-9183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYRICK",
"first_name": "REBECCA",
"middle_name": "MILLS",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NC",
"license": "68811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.