Individual provider Active NPI

Brittany Lee Rahmberg, PA-C

  • Physician Assistant
  • Springfield, MA
National Provider Identifier
1164787388
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA4452 Issued in MA
Practice address
140 Carando Dr
Springfield, MA 01104-3296
Phone
(413) 746-4006
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA4452 MA Primary

Addresses

Primary practice location

140 Carando Dr
Springfield, MA 01104-3296

Mailing address

140 Carando Dr
Springfield, MA 01104-3296
Phone (413) 746-4006

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121120000274 MA Practitioner - Physician Assistant 1850542952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

103 Garland St
Everett, MA 02149-5066
Phone (617) 389-6270

454 Broadway
Revere, MA 02151-3034
Phone (781) 485-8222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Public Health Commission CurrentSince Aug 5, 2013 Accepting new patients
Cambridge Public Health Commission CurrentSince Aug 5, 2013 Accepting new patients

Locations

237 Hampshire St
Cambridge, MA 02139
Phone (617) 575-5570

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

2067 Massachusetts Ave
North Cambridge, MA 02140
Phone (617) 575-5550

Interoperability endpoints

  • Direct secure messaging: brahmberg37848@direct.challiance.masshiway.net

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1164787388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CARANDO DR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043296",
            "telephone_number": "413-746-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CARANDO DR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011043296",
            "telephone_number": "413-746-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMBERG",
        "first_name": "BRITTANY",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.