MRS. REBEKKA LEE AMICK AGCNS-BC AGPCNP-BC NPI 1598126427

NPI Information

NPI: 1598126427
Provider Name: MRS. REBEKKA LEE AMICK, AGCNS-BC, AGPCNP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
9501 BAPTIST HEALTH DR STE 960
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 202-4245
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MRS. Rebekka Lee Amick, AGCNS-BC, AGPCNP-BC is an adult health nurse practitioner in Little Rock, AR. MRS. Rebekka Lee Amick, AGCNS-BC, AGPCNP-BC NPI is 1598126427. 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:

9501 BAPTIST HEALTH DR STE 960
LITTLE ROCK, AR
ZIP 72205-234
Phone: (501) 202-4245

The NPI 1598126427 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 3/20/2016 and was last updated on 1/28/2021.

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	363LA2200X	Nurse Practitioner	Adult Health	213001	ARKANSAS	Yes
2	364SA2200X	Clinical Nurse Specialist	Adult Health	S002315	ARKANSAS	No
3	364SG0600X	Clinical Nurse Specialist	Gerontology	S002315	ARKANSAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200692480A	MEDICAID	OKLAHOMA
2	216597758	MEDICAID	ARKANSAS

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: 11/14/2023

NPI Synchronization or Removal

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