Active NPI
Rebecca Decotiis
- Specialist
- Hudson, NH
National Provider Identifier
1497154256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2059
- Practice address
- 728 Fox Hollow Dr
Hudson, NH 03051-4886 - Phone
- (978) 979-6537
- NPI assigned
- Aug 18, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2059 | NH | Primary |
| Specialist | 174400000X | 9842 | MA |
Addresses
Primary practice location
728 Fox Hollow Dr
Hudson, NH 03051-4886
Mailing address
728 Fox Hollow Dr
Hudson, NH 03051-4886
Phone (978) 979-6537
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9842 | MA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408320000000",
"number": "1497154256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 FOX HOLLOW DR",
"city": "HUDSON",
"state": "NH",
"postal_code": "030514886",
"telephone_number": "978-979-6537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 FOX HOLLOW DR",
"city": "HUDSON",
"state": "NH",
"postal_code": "030514886",
"telephone_number": "978-979-6537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECOTIIS",
"first_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-18",
"last_updated": "2014-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NH",
"license": "2059",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "9842",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.