Active NPI
Rebecca Anne Ewing, M.D.
- Addiction Medicine (Psychiatry & Neurology) Physician
- Concord, NH
National Provider Identifier
1003854993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- 8112
- Practice address
- 3 N State St
Concord, NH 03301-4037 - Phone
- (603) 225-0123
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 8112 | NH | |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 8112 | NH | Primary |
Addresses
Primary practice location
3 N State St
Concord, NH 03301-4037
Mailing address
100 Hitchcock Way
Manchester, NH 03104
Phone (603) 695-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30201313 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8112 | NH | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1003854993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HITCHCOCK WAY",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03104",
"telephone_number": "603-695-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 N STATE ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033014037",
"telephone_number": "603-225-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWING",
"first_name": "REBECCA",
"middle_name": "ANNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NH",
"license": "8112",
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NH",
"license": "8112",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30201313",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.