Active NPI
Rebecca Rose Parker
- Family Nurse Practitioner
- Boston, MA
National Provider Identifier
1790252260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2272658
- Practice address
- 333 Longwood Ave
Boston, MA 02115-5711 - Phone
- (617) 355-6000
- NPI assigned
- Nov 1, 2018
- Last updated
- Dec 2, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2272658 | MA | Primary |
Addresses
Primary practice location
333 Longwood Ave
Boston, MA 02115-5711
Mailing address
10 Oakley Rd Apt 1
Watertown, MA 02472-1307
Other practice location 1
175 Forest St
Waltham, MA 02452-4713
Phone (781) 891-2222
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2272658 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxim Health Systems, LLC | Past | Accepting new patients |
Interoperability endpoints
- rparker31177@direct.bostonchildrens.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Home Health Agency
- Columbia, MD
- NPI 1356455380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1790252260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 OAKLEY RD APT 1",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024721307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155711",
"telephone_number": "617-355-6000"
}
],
"practiceLocations": [
{
"address_1": "175 Forest St",
"address_purpose": "LOCATION",
"city": "Waltham",
"state": "MA",
"postal_code": "024524713",
"country_code": "US",
"telephone_number": "781-891-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKER",
"first_name": "REBECCA",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2272658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.