Active NPI
Rebecca Hermann
- Speech-Language Pathologist
- Lincoln, RI
National Provider Identifier
1013578277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP01786
- Practice address
- 50 Woodland St
Lincoln, RI 02865-2800 - Phone
- (401) 723-5240
- NPI assigned
- Jun 27, 2019
- Last updated
- Aug 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 030037 | NY | MD | Physical Therapist |
| SP01786 | RI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Sweet Speech, LLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Barrington, RI
- NPI 1407500531
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.