Active NPI
Rebecca Lynn McDonald, CNP, MSN, RN
- Pediatric Nurse Practitioner
- Worcester, MA
National Provider Identifier
1790143048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN2298431
- Practice address
- 55 Lake Ave N
Worcester, MA 01655 - Phone
- (774) 442-3028
- Fax
- (774) 455-4229
- NPI assigned
- Feb 2, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2298431 | MA | |
| Pediatric Nurse Practitioner | 363LP0200X | RN2298431 | MA | Primary |
Addresses
Primary practice location
55 Lake Ave N
Worcester, MA 01655
Mailing address
378 Maple Ave
Shrewsbury, MA 01545-2673
Phone (508) 852-8571
Other practice location 1
288 Lyman St
Westborough, MA 01581-2633
Phone (508) 368-4222
Other names 1
- Rebecca Lynn Hakansson
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
- Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hollistonpediatric Group | Past | Accepting new patients |
Interoperability endpoints
- rebecca.mcdonald.npi1790143048.reliant@direct.optumcare.masshiway.net
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.
-
- Pediatrics Physician
- Holliston, MA
- NPI 1538184692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1790143048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "378 MAPLE AVE",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015452673",
"telephone_number": "508-852-8571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01655",
"telephone_number": "774-442-3028",
"fax_number": "774-455-4229"
}
],
"practiceLocations": [
{
"address_1": "288 Lyman St",
"address_purpose": "LOCATION",
"city": "Westborough",
"state": "MA",
"postal_code": "015812633",
"country_code": "US",
"telephone_number": "508-368-4222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONALD",
"first_name": "REBECCA",
"middle_name": "LYNN",
"credential": "CNP, MSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-02",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2298431",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN2298431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "HAKANSSON",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.