Individual provider Active NPI

Rebecca Hermann

  • Speech-Language Pathologist
  • Lincoln, RI
National Provider Identifier
1013578277
Registry record updated Aug 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP01786 Issued in RI
Practice address
50 Woodland St
Lincoln, RI 02865-2800
Phone
(401) 723-5240
NPI assigned
Jun 27, 2019
Last updated
Aug 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 030037 NY
Speech-Language Pathologist 235Z00000X SP01786 RI Primary

Addresses

Primary practice location

50 Woodland St
Lincoln, RI 02865-2800

Mailing address

120 Federal Way Apt 202
Johnston, RI 02919-4661
Phone (845) 625-7217

Other practice location 1

220 Broadway
Fort Edward, NY 12828-1502
Phone (518) 747-4529 ext. 4121

Other practice location 2

47 Wood Ave
Barrington, RI 02806-3503
Phone (401) 284-7027

Other names 1

  • Rebecca Bevacqua Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
030037NYMDPhysical Therapist
SP01786RIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Sweet Speech, LLC Speech-Language Pathologist CurrentSince Sep 5, 2023 Accepting new patients

Locations

47 Wood Ave
Barrington, RI 02806
Phone (401) 284-7027

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693094400000",
    "number": "1013578277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FEDERAL WAY APT 202",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029194661",
            "telephone_number": "845-625-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WOODLAND ST",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028652800",
            "telephone_number": "401-723-5240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Broadway",
            "address_purpose": "LOCATION",
            "city": "Fort Edward",
            "state": "NY",
            "postal_code": "128281502",
            "country_code": "US",
            "telephone_number": "518-747-4529 x4121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47 Wood Ave",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "RI",
            "postal_code": "028063503",
            "country_code": "US",
            "telephone_number": "401-284-7027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMANN",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2023-08-27",
        "certification_date": "2023-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030037",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP01786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BEVACQUA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.