REBECCA FLETCHER (NPI# 1629532007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629532007 |
| Entity Type | Individual |
| Full Name | REBECCA FLETCHER |
| Credential | LPN |
| Practice Address |
1600 Broad Ave Gulfport MS 39501-3603 |
| Practice Telephone | 2288651719 |
| Practice Fax Number | 2288651780 |
| Mailing Telephone | 2288651719 |
| Mailing Fax Number | 2288651780 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2040043 | AL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582525 | Rebecca Ann Fletcher | Social Worker | 201 E Morgan St, Jacksonville, IL 62650-2587 | 2020-09-09 |
| 1487124434 | Rebecca Fletcher | Pharmacist | 170 Dr Arla Way Ste 105, Louisville, KY 40229-5454 | 2018-12-03 |
| 1740721414 | Rebecca Fletcher | General Acute Care Hospital | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2017-03-15 |
| 1689801532 | Rebecca L Fletcher | Obstetrics & Gynecology | 740 Prince Ave, Building #3, Athens, GA 30606-5908 | 2009-06-18 |
| 1104018001 | Rebecca Faith Fletcher | Counselor | 1669 N E St, San Bernardino, San Bernardino, CA 92405-4405 | 2007-08-14 |
| 1295864262 | Rebecca Fletcher | Nurse Anesthetist, Certified Registered | 1029 Medical Center Cir, Mayfield, KY 42066-1189 | 2007-03-05 |
| 1699872473 | Rebecca Anne Fletcher | Occupational Therapist | 707 Sw Gaines St, Portland, OR 97239-2901 | 2006-09-20 |
| Street Address |
1600 BROAD AVE |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417934175 | Gulf Coast Mental Health Center | Psychologist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2005-12-23 |
| 1043811839 | Kathy Ulland | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-11-06 |
| 1508463357 | Nicole Brown | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-10-05 |
| 1407453376 | Brian Weber | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-10-05 |
| 1457958639 | Krysten Vagedes | Registered Nurse | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-10-01 |
| 1184239436 | Yeinil Guzman | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-09-14 |
| 1972117216 | Nicole Hymel | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-09-03 |
| 1053921668 | Dana Alexis Mixon | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-08-07 |
| 1801405964 | Elizabeth Moran | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-24 |
| 1013526177 | June Boudreaux | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942547641 | Teeare Kellie Fields-parker | Licensed Practical Nurse | 12100 Harmony Cir, Gulfport, MS 39503-9534 | 2013-01-15 |
| 1659636181 | Lakesha Quiana Hall | Licensed Practical Nurse | 928 Brown Street, Gulfport, MS 39507-3758 | 2012-07-11 |
| 1538427216 | Sonia Polk Haynes | Licensed Practical Nurse | 2801 Monroe St, Gulfport, MS 39501-7936 | 2012-05-01 |
| 1316187131 | Margit Marie Gomez | Licensed Practical Nurse | 18037 Cypress Pointe Dr, Gulfport, MS 39503-9381 | 2009-03-06 |
| 1649829789 | Donna Moberg | Licensed Practical Nurse | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2019-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568757 | Iman A Reed | Licensed Practical Nurse | 8 Ashbury Pl, Columbia, MS 39429-3729 | 2020-11-04 |
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1083232250 | Remco Leidelmeijer | Licensed Practical Nurse | 54 Windance Dr, Carriere, MS 39426-7947 | 2020-07-14 |
| 1033733951 | Bonita T Roby | Licensed Practical Nurse | 1762 Eddisville Rd, Durant, MS 39063-2910 | 2020-06-05 |
| 1760011084 | Felicia Taylor | Licensed Practical Nurse | 1125 William Warren Rd, Collins, MS 39428-5692 | 2020-04-07 |
| 1003450321 | Donna Robinson | Licensed Practical Nurse | 70203 Royal Ct, Brandon, MS 39042-2930 | 2019-10-30 |
| 1093358202 | Alexesia S. Williams | Licensed Practical Nurse | 48 Charleston Way, Hattiesburg, MS 39402-8296 | 2019-10-21 |
| 1487212585 | Lesia Denise Gipson | Licensed Practical Nurse | 375a Love Cv, Brandon, MS 39042-8320 | 2019-06-03 |
| 1265995740 | Sandra Ferrill | Licensed Practical Nurse | 8321 Amoka Dr, Diamondhead, MS 39525-4060 | 2019-04-10 |
| 1821551946 | Mark Dewayne Bridgfes | Licensed Practical Nurse | 11 Sims Thornhill Rd, Tylertown, MS 39667-6104 | 2019-04-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.