Active NPI
Rebecka Marie Evans, R.N., N.P.
- Psychiatric/Mental Health Clinical Nurse Specialist
- Belmont, MA
National Provider Identifier
1093034191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN239049
- Practice address
- 9 Alexander Ave
Belmont, MA 02478-4802 - Phone
- (617) 249-4344
- NPI assigned
- May 28, 2010
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN239049 | MA | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | RN239049 | MA | Primary |
Addresses
Primary practice location
9 Alexander Ave
Belmont, MA 02478-4802
Mailing address
9 Alexander Ave
Belmont, MA 02478-4802
Phone (617) 249-4344
Other names 1
- Rebecka Marie Mowdy
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
- Credentials
- Master of Arts, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN239049 | MA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlington Pediatric Associates, P.C. | Past | Accepting new patients |
Interoperability endpoints
- revans14650@direct.chppoc.masshiway.net
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 and National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Arlington, MA
- NPI 1316094782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1093034191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 ALEXANDER AVE",
"city": "BELMONT",
"state": "MA",
"postal_code": "024784802",
"telephone_number": "617-249-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 ALEXANDER AVE",
"city": "BELMONT",
"state": "MA",
"postal_code": "024784802",
"telephone_number": "617-249-4344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "REBECKA",
"middle_name": "MARIE",
"credential": "R.N., N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-28",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN239049",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "MA",
"license": "RN239049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECKA",
"last_name": "MOWDY",
"middle_name": "MARIE",
"credential": "R.N.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.