Rebecca L Sherlock, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

234601 Issued in MA

Practice address

300 Longwood Ave
Fegan 3
Boston, MA 02115-5724

Phone

(617) 355-7704

NPI assigned

Oct 24, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

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.

• The Shriners' Hospital for Children

  • Pediatric Orthopaedic Surgery Physician
  • Springfield, MA
  • NPI 1285078444
  Medicare reassignment NPD
• The Shriners' Hospital for Children

  • Rehabilitation Clinic/Center
  • Springfield, MA
  • NPI 1811611825
  NPD
• The Shriners' Hospital for Children

  • Anesthesiology Physician
  • Boston, MA
  • NPI 1831688555
  NPD
• Franciscan Pediatrics, Inc.

  • Pediatric Radiology Physician
  • Boston, MA
  • NPI 1154460020
  NPD (past)
• Shriners Hospitals for Children

  • Children's Hospital
  • Chicago, IL
  • NPI 1376656538
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1124018015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "FEGAN 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "FEGAN 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERLOCK",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "234601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0350290",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Sheridan, PA-C
• Kara Jillian Sheridan, LMHC
• Robert Leo Sheridan, MD
• Robert S Sheridan
• Sehar Sheriff
• Cynthia Ann Sherman, LMHC
• Debra L Sherman, MD
• Gilad Sherman, MD
• Janet Cohen Sherman, PHD
• Kaitlyn M Sherman, PHARMD

• Pediatric Nurse Practitioner in Boston, MA
• Providers in Boston, MA by specialty
• Pediatric Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.