Rebecca Alleyne Holtzclaw

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

141869 Issued in MA

Practice address

40 Spring St
Watertown
Watertown, MA 02472-3474

Phone

(617) 923-6334

NPI assigned

Mar 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  Nurse Practitioner

  NPD
• Tramontozzi LLC

  • Family Medicine Physician
  • Watertown, MA
  • NPI 1578016390
  NPD (past)

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1043671415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SPRING ST",
            "address_2": "WATERTOWN",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723474",
            "telephone_number": "617-923-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SPRING ST",
            "address_2": "WATERTOWN",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723474",
            "telephone_number": "617-923-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEYNE HOLTZCLAW",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "141869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• All Dental Center
• Brenda Allair, TVI
• Allen K. Niukian D.M.D.
• Melanie Allen-Salort, OTRL
• Jennifer Allen, PHARMD, CDCES, BCACP
• Nicole D Allie, PHARMD, CGP
• Mohammed Talal Almalki
• Abubaker Alwahab
• Jairo Matthew Amarillo, PA-S
• Matthew E Amato, LIC. AC.

• Nurse Practitioner in Watertown, MA
• Providers in Watertown, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.