Individual provider Active NPI

Rebecca Laliberte, PA-C

  • Physician Assistant
  • Portsmouth, NH
National Provider Identifier
1316535982
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
330 Borthwick Ave Ste 303
Portsmouth, NH 03801-7109
Phone
(603) 431-5205
NPI assigned
Jan 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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 Primary

Addresses

Primary practice location

330 Borthwick Ave Ste 303
Portsmouth, NH 03801-7109

Mailing address

330 Borthwick Ave Ste 303
Portsmouth, NH 03801-7109
Phone (603) 431-5205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220321001461 NH Practitioner - Physician Assistant 4981099405
I20250812002914 MA Practitioner - Physician Assistant 4981099405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

538 Turnpike St
North Andover, MA 01845-5812
Phone (978) 691-5690

62 Brown St
Suite 304C
Haverhill, MA 01830-6790
Phone (978) 228-1900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1837NHMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Dermatology Associates, PC CurrentSince Oct 1, 2025 Accepting new patients
Neda at North Shore PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

62 Brown St
Ste 304C
Haverhill, MA 01830
Phone (603) 552-3309

538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201

330 Borthwick Ave
Ste 303
Portsmouth, NH 03801
Phone (603) 431-5205

302 Innovation Dr
Ste 400
Franklin, TN 37067

Interoperability endpoints

  • Direct secure messaging: rebecca.laliberte@forefrontdermatology.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1316535982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE STE 303",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017109",
            "telephone_number": "603-431-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE STE 303",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017109",
            "telephone_number": "603-431-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALIBERTE",
        "first_name": "REBECCA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.