MRS. REBECCA SHERRILL LUCKETT AGACNP-BC NPI 1780197426

NPI Information

NPI: 1780197426
Provider Name: MRS. REBECCA SHERRILL LUCKETT, AGACNP-BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1872 BELTLINE ROAD SW
DECATUR, AL
ZIP 35603
Phone: (615) 973-6672
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MRS. Rebecca Sherrill Luckett, AGACNP-BC is a gerontology nurse practitioner in Decatur, AL with 7 years of experience. MRS. Rebecca Sherrill Luckett, AGACNP-BC NPI is 1780197426. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1872 BELTLINE ROAD SW
DECATUR, AL
ZIP 35603
Phone: (615) 973-6672
Fax: (256) 973-6673

The NPI 1780197426 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2017 and was last updated on 2/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		23525	TENNESSEE	No
2	363LA2100X	Nurse Practitioner	Acute Care	23525	TENNESSEE	No
3	363LG0600X	Nurse Practitioner	Gerontology	23525	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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