Active NPI
Rebecca McEachern, MD
- Pediatric Endocrinology Physician
- Cranston, RI
National Provider Identifier
1689628653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 11312
- Practice address
- 105 Sockanosset Cross Rd
Suite 318
Cranston, RI 02920-5560 - Phone
- (401) 434-2058
- Fax
- (401) 434-0523
- NPI assigned
- May 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | 11312 | RI | Primary |
Addresses
Primary practice location
105 Sockanosset Cross Rd
Suite 318
Cranston, RI 02920-5560
Mailing address
105 Sockanosset Cross Road
Suite 318
Cranston, RI 02920
Phone (401) 434-2058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RM51837 | Medicaid | RI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Endocrinology of Rhode Island | Pediatric Endocrinology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Endocrinology Physician
- Cranston, RI
- NPI 1073864591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1689628653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SOCKANOSSET CROSS ROAD",
"address_2": "SUITE 318",
"city": "CRANSTON",
"state": "RI",
"postal_code": "02920",
"telephone_number": "401-434-2058",
"fax_number": "401-434-0523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SOCKANOSSET CROSS RD",
"address_2": "SUITE 318",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029205560",
"telephone_number": "401-434-2058",
"fax_number": "401-434-0523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEACHERN",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "RI",
"license": "11312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RM51837",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.