Individual provider Active NPI

Rebecka Marie Evans, R.N., N.P.

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Belmont, MA
National Provider Identifier
1093034191
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
RN239049 Issued in MA
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

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
Credentials
Master of Arts, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN239049MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Pediatric Associates, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.