Individual provider Active NPI

Rebecca Abigail Kaye, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Newton, MA
National Provider Identifier
1487360343
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2350183 Issued in MA
Practice address
41 Chase St
Newton, MA 02459-2213
Phone
(718) 715-5090
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2350183 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2350183 MA Primary

Addresses

Primary practice location

41 Chase St
Newton, MA 02459-2213

Mailing address

41 Chase St
Newton, MA 02459-2213
Phone (718) 715-5090

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
I20230908003537 MA Practitioner - Nurse Practitioner 6507220514

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

169 Libbey Industrial Pkwy
Weymouth, MA 02189-3165

180 Magnolia Woods CT Apt
1B
Deltona, FL 32725-9369

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.rebeccakaye@139414.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1487360343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CHASE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592213",
            "telephone_number": "718-715-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CHASE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592213",
            "telephone_number": "718-715-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYE",
        "first_name": "REBECCA",
        "middle_name": "ABIGAIL",
        "credential": "RN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2350183",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2350183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.