Individual provider Active NPI

Rebecca Jean Kerr, MSC

  • Genetic Counselor (M.S.)
  • Dover, NH
National Provider Identifier
1811219983
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
12475 Issued in ZZ
Practice address
17 Old Rollinsford Road
Suite 6
Dover, NH 03820-2833
Phone
(603) 516-0092
Fax
(603) 516-0093
NPI assigned
Feb 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 12475 ZZ Primary

Addresses

Primary practice location

17 Old Rollinsford Road
Suite 6
Dover, NH 03820-2833

Mailing address

789 Central Avenue
Business Office
Dover, NH 03820-2526
Phone (603) 740-4478

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

LicenseStateTypeSpecialty
12475ZZMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Dartmouth-Hitchcock Clinic Past Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1811219983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVENUE",
            "address_2": "BUSINESS OFFICE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-740-4478",
            "fax_number": "603-740-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 OLD ROLLINSFORD ROAD",
            "address_2": "SUITE 6",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202833",
            "telephone_number": "603-516-0092",
            "fax_number": "603-516-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "credential": "MSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "ZZ",
            "license": "12475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.