Individual provider Active NPI

Rebecca Harding-Fauth, RN/NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Haverhill, MA
National Provider Identifier
1265855530
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN281202 Issued in MA
Practice address
191 Merrimack St Ste 402
Haverhill, MA 01830-6199
Phone
(978) 891-4928
Fax
(978) 945-4787
NPI assigned
Jan 22, 2014
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN281202 MA Primary

Addresses

Primary practice location

191 Merrimack St Ste 402
Haverhill, MA 01830-6199

Mailing address

26 Pillsbury Rd
E Hampstead, NH 03826-2502
Phone (978) 891-2948

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
I20140701001349 MA Practitioner - Nurse Practitioner 6901021161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

191 Merrimack St
Suite 402
Haverhill, MA 01830-6199
Phone (978) 891-4928

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1265855530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PILLSBURY RD",
            "city": "E HAMPSTEAD",
            "state": "NH",
            "postal_code": "038262502",
            "telephone_number": "978-891-2948",
            "fax_number": "978-945-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 MERRIMACK ST STE 402",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306199",
            "telephone_number": "978-891-4928",
            "fax_number": "978-945-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDING-FAUTH",
        "first_name": "REBECCA",
        "credential": "RN/NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN281202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

Verify at the official NPI Registry.