Active NPI
Rebecca Jane Collman, M.D.
- Pediatrics Physician
- Colchester, VT
National Provider Identifier
1265533293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 420007780
- Practice address
- 164 Main St
Suite 202
Colchester, VT 05446-7168 - Phone
- (802) 878-7844
- Fax
- (802) 872-9667
- NPI assigned
- Sep 25, 2006
- Last updated
- Nov 6, 2008
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 420007780 | VT | Primary |
Addresses
Primary practice location
164 Main St
Suite 202
Colchester, VT 05446-7168
Mailing address
164 Main St
Suite 202
Colchester, VT 05446-7168
Phone (802) 878-7844
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1002884 | Medicaid | VT | |
| 9919 | Other | VT | BLUECROSS/BLUESHIELD |
| 26V031 | Other | VT | MVP HEALTHCARE |
| 415510 | Other | VT | CIGNA |
Other names 1
- Rebecca Collman McMahon
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 |
|---|---|---|---|
| 420007780 | VT | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225929600000",
"number": "1265533293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 MAIN ST",
"address_2": "SUITE 202",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054467168",
"telephone_number": "802-878-7844",
"fax_number": "802-872-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 MAIN ST",
"address_2": "SUITE 202",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054467168",
"telephone_number": "802-878-7844",
"fax_number": "802-872-9667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLMAN",
"first_name": "REBECCA",
"middle_name": "JANE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2008-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VT",
"license": "420007780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1002884",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "9919",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHCARE",
"identifier": "26V031",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "415510",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "MCMAHON",
"middle_name": "COLLMAN",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Colchester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.