Individual provider Active NPI

Rebecca Lyn Nead, NP-C

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1972831055
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3496 Issued in AZ
Practice address
1200 S 52ND St BLDG T2
Tempe, AZ 85281-6922
Phone
(480) 792-3123
NPI assigned
Nov 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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 AP3496 AZ Primary

Addresses

Primary practice location

1200 S 52ND St BLDG T2
Tempe, AZ 85281-6922

Mailing address

6900 E Indian School Rd
Suite 106
Scottsdale, AZ 85251-3898
Phone (480) 773-6229

Other names 1

  • Rebecca Lyn Johns Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180306002459 TX Practitioner - Nurse Practitioner 6103187281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medicine Associates of El Paso, PLLCGroup PAC ID 1153504196, 11 clinicians

Practice addresses (Care Compare)

9398 Viscount Blvd
Suite C
El Paso, TX 79925-8056
Phone (915) 594-1033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP3496AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Associates of El Paso, PLLC CurrentSince Feb 14, 2018 Accepting new patients
Good Night El Paso LLC CurrentSince Feb 15, 2025 Accepting new patients

Locations

9398 Viscount Blvd
Ste C
El Paso, TX 79925
Phone (915) 219-9733

9398 Viscount Blvd
Ste 4C
El Paso, TX 79925
Phone (915) 594-1033

Interoperability endpoints

  • Direct secure messaging: rebecca.nead.1@33731.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1972831055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 E INDIAN SCHOOL RD",
            "address_2": "SUITE 106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513898",
            "telephone_number": "480-773-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S 52ND ST BLDG T2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816922",
            "telephone_number": "480-792-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAD",
        "first_name": "REBECCA",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "JOHNS",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.