Active NPI
Rebecca Kardon
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Worcester, MA
National Provider Identifier
1871530600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 84306
- Practice address
- 26 Queen Street, Ground Floor
Umass Memorial Med Ctr, Ambulatory Psychiatry Service
Worcester, MA 01610 - Phone
- (508) 334-2537
- Fax
- (508) 334-4320
- NPI assigned
- Jun 1, 2006
- Last updated
- Oct 17, 2014
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 84306 | MA | Primary |
Addresses
Primary practice location
26 Queen Street, Ground Floor
Umass Memorial Med Ctr, Ambulatory Psychiatry Service
Worcester, MA 01610
Mailing address
26 Queen Street, Ground Floor
Umass Memorial Med Ctr, Ambulatory Psychiatry Service
Worcester, MA 01610
Phone (508) 334-2537
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
| License | State | Type | Specialty |
|---|---|---|---|
| 84306 | MA | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1871530600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 QUEEN STREET, GROUND FLOOR",
"address_2": "UMASS MEMORIAL MED CTR, AMBULATORY PSYCHIATRY SERVICE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01610",
"telephone_number": "508-334-2537",
"fax_number": "508-334-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 QUEEN STREET, GROUND FLOOR",
"address_2": "UMASS MEMORIAL MED CTR, AMBULATORY PSYCHIATRY SERVICE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01610",
"telephone_number": "508-334-2537",
"fax_number": "508-334-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARDON",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "MA",
"license": "84306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 17, 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.