Active NPI
Rebecca Elizabeth Kincaid, MD
- Pediatrics Physician
- Randolph, VT
National Provider Identifier
1851633903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9149531-1205
- Practice address
- 40 S Main St
Randolph, VT 05060-1377 - Phone
- (802) 728-2420
- Fax
- (802) 728-2111
- NPI assigned
- Mar 26, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9149531-1205 | VT | |
| Pediatrics Physician | 208000000X | 9149531-1205 | UT | Primary |
Addresses
Primary practice location
40 S Main St
Randolph, VT 05060-1377
Mailing address
PO Box 2000
Randolph, VT 05060-2000
Phone (802) 728-7000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9149531-1205 | VT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Pediatrics, Inc | Pediatrics | Past | Accepting new patients |
| Gifford Medical Center Inc | Past | Accepting new patients |
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.
-
- Critical Access Hospital
- Randolph, VT
- NPI 1730199647
-
- Pediatrics Physician
- West Jordan, UT
- NPI 1124102595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1851633903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2000",
"city": "RANDOLPH",
"state": "VT",
"postal_code": "050602000",
"telephone_number": "802-728-7000",
"fax_number": "802-728-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 S MAIN ST",
"city": "RANDOLPH",
"state": "VT",
"postal_code": "050601377",
"telephone_number": "802-728-2420",
"fax_number": "802-728-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINCAID",
"first_name": "REBECCA",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-26",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VT",
"license": "9149531-1205",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "9149531-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randolph, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.