Active NPI
Rebecca Louise Staples, BSW
- Student in an Organized Health Care Education/Training Program
- Worcester, MA
National Provider Identifier
1124366117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- S30440697
- Practice address
- 172 Lincoln St
Worcester, MA 01605-3750 - Phone
- (508) 770-0511
- NPI assigned
- Jan 25, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | S30440697 | MA | Primary |
Addresses
Primary practice location
172 Lincoln St
Worcester, MA 01605-3750
Mailing address
253 Wood St
Woodville, MA 01784
Phone (508) 435-4618
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S30440697 | MA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359072000000",
"number": "1124366117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 WOOD ST",
"city": "WOODVILLE",
"state": "MA",
"postal_code": "01784",
"telephone_number": "508-435-4618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053750",
"telephone_number": "508-770-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLES",
"first_name": "REBECCA",
"middle_name": "LOUISE",
"credential": "BSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-25",
"last_updated": "2013-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "S30440697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.