Active NPI
Rebecca Lynne Johnson, M.D.
- Psychiatry Physician
- Grantham, NH
National Provider Identifier
1104067180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 11538
- Practice address
- 7 Longwood Drive
Grantham, NH 03753 - Phone
- (603) 863-1055
- NPI assigned
- Mar 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 11538 | NH | Primary |
Addresses
Primary practice location
7 Longwood Drive
Grantham, NH 03753
Mailing address
7 Longwood Drive
P.O. Box 1807
Grantham, NH 03753
Phone (603) 863-1055
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11538 | NH | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237766400000",
"number": "1104067180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 LONGWOOD DRIVE",
"address_2": "P.O. BOX 1807",
"city": "GRANTHAM",
"state": "NH",
"postal_code": "03753",
"telephone_number": "603-863-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 LONGWOOD DRIVE",
"city": "GRANTHAM",
"state": "NH",
"postal_code": "03753",
"telephone_number": "603-863-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "REBECCA",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-20",
"last_updated": "2009-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NH",
"license": "11538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grantham, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.