Active NPI
Rebecca Koeniger Donohue, PHD APRN RN
- Primary Care Nurse Practitioner
- Boston, MA
National Provider Identifier
1285837336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 134080
- Practice address
- 94 Pilgrim Rd
Boston, MA 02215-4127 - Phone
- (617) 521-2132
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 134080 | MA | Primary |
Addresses
Primary practice location
94 Pilgrim Rd
Boston, MA 02215-4127
Mailing address
6 Agawam Rd
Winchester, MA 01890-3328
Phone (781) 729-3025
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
- Credentials
- Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134080 | MA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simmons College Health Center | Past | Accepting new patients | |
| Simmons College Health Center | Past | Accepting new patients |
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.
-
- Health Service Clinic/Center
- Boston, MA
- NPI 1144575093
-
- Health Service Clinic/Center
- Boston, MA
- NPI 1720226012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285837336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 AGAWAM RD",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018903328",
"telephone_number": "781-729-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 PILGRIM RD",
"city": "BOSTON",
"state": "MA",
"postal_code": "022154127",
"telephone_number": "617-521-2132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOHUE",
"first_name": "REBECCA",
"middle_name": "KOENIGER",
"name_prefix": "Prof.",
"credential": "PHD APRN RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "134080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.