REBECCA HEATHERLY LPN
NPI 1821344763
Licensed Practical Nurse in Woodbine, GA

Q: What is Rebecca Heatherly's NPI number?

The NPI number for Rebecca Heatherly is 1821344763. It was assigned to this individual provider in the NPPES registry on July 30, 2012.

Q: What is Rebecca Heatherly's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Heatherly was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 30, 2012

1501 GEORGIA AVE, WOODBINE, GA 31569(912) 576-3040(912) 576-3833 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rebecca Heatherly Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA HEATHERLY LPN (NPI 1821344763) is an individual licensed practical nurse in Woodbine, Georgia, licensed in Georgia (80366) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1821344763

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameREBECCA HEATHERLYCredential: LPN

Location Address1501 GEORGIA AVEWoodbine, GA 31569-5504

Mailing Address150 Scranton ConnectorBrunswick, GA 31525-0540 · (912) 280-1462 · Fax (912) 262-3036

Phone(912) 576-3040

Fax(912) 576-3833

Sole ProprietorNo

Enumeration DateJuly 30, 2012

✔ NPI 1821344763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in GA · 80366

Definition

A licensed practical nurse 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.

1501 GEORGIA AVE, Woodbine, GA 31569

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARLENE ANN ENOS RN

Registered Nurse

1501 GEORGIA AVE
WOODBINE, GA 31569

Camden County (912) 576-3040

MELISSA R PERKINS RN

Registered Nurse

1501 GEORGIA AVE
WOODBINE, GA 31569

Camden County (912) 576-3833

LORI BISHOP

Registered Nurse

1501 GEORGIA AVE
WOODBINE, GA 31569

Camden County (912) 576-3040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Heatherly's NPI number?

The NPI number for Rebecca Heatherly is 1821344763. It was assigned to this individual provider in the NPPES registry on July 30, 2012.

Where is Rebecca Heatherly located?

Rebecca Heatherly practices at 1501 Georgia Ave, Woodbine, GA 31569. The listed phone number is (912) 576-3040.

What is Rebecca Heatherly's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Rebecca Heatherly was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.