Individual provider Active NPI

Rebecca Colleen Rathburn, APRN

  • Acute Care Nurse Practitioner
  • Boston, MA
National Provider Identifier
1881271963
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN2328980 Issued in MA
Practice address
45 Francis St
Boston, MA 02115-6105
Phone
(843) 425-2848
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2328980 MA
Acute Care Nurse Practitioner 363LA2100X RN2328980 MA Primary

Addresses

Primary practice location

45 Francis St
Boston, MA 02115-6105

Mailing address

45 Francis St
Boston, MA 02115-6105
Phone (843) 425-2848

Other practice location 1

55 Fruit St
Boston, MA 02114-2696
Phone (857) 307-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909001955 VA Practitioner - Nurse Practitioner 8628465234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5855 Bremo Rd
Suite 509
Richmond, VA 23226-1925
Phone (804) 977-8920

5875 Bremo Rd
Suite 712
Richmond, VA 23226-1928
Phone (804) 288-8900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours-Richmond Community Hospital LLC CurrentSince Sep 19, 2022 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 17, 2024 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Nov 17, 2024 Accepting new patients
Bon Secours-Richmond Community Hospital LLC CurrentSince Sep 19, 2022 Accepting new patients
Bon Secours-Richmond Community Hospital LLC Current Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

5875 Bremo Rd
Ste G7
Richmond, VA 23226
Phone (804) 288-8900

5855 Bremo Rd
Ste 509
Richmond, VA 23226
Phone (804) 288-6261

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

5875 Bremo Rd
Ste 712
Richmond, VA 23226
Phone (804) 285-9416

Organizations & group practices 6

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1881271963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156105",
            "telephone_number": "843-425-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156105",
            "telephone_number": "843-425-2848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142696",
            "country_code": "US",
            "telephone_number": "857-307-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATHBURN",
        "first_name": "REBECCA",
        "middle_name": "COLLEEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2328980",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "RN2328980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.