Individual provider Active NPI

Rebecca Lynn Harris, DNP, FNP-C

  • Family Nurse Practitioner
  • Bedford, NH
National Provider Identifier
1659986248
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
088320-23 Issued in NH
Practice address
9 Washington PL Ste 204
Bedford, NH 03110-6750
Phone
(503) 625-5744
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 088320-23 NH Primary

Addresses

Primary practice location

9 Washington PL Ste 204
Bedford, NH 03110-6750

Mailing address

55 Dewey Rd
Shrewsbury, MA 01545-5129
Phone (508) 868-5307

Other practice location 1

55 Dewey Rd
Shrewsbury, MA 01545-5129
Phone (508) 868-5307

Other practice location 2

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 856-5801

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca.harris@hhchealth.org Direct Hartford HealthCare Medical Group, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20201216001693 CT Practitioner - Nurse Practitioner 6305258310 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 7, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Dec 7, 2020 Accepting new patients

Locations

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

538 Litchfield St
Ste 101
Torrington, CT 06790
Phone (860) 496-1760

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: rebecca.harris@xdr.hhchealthdirect.org

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1659986248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DEWEY RD",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455129",
            "telephone_number": "508-868-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WASHINGTON PL STE 204",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106750",
            "telephone_number": "503-625-5744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Dewey Rd",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "MA",
            "postal_code": "015455129",
            "country_code": "US",
            "telephone_number": "508-868-5307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-856-5801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "088320-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca.harris@hhchealth.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Hartford HealthCare Medical Group, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "538 Litchfield St Ste 101",
            "city": "Torrington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067906669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.