Active NPIIndividual provider

Rebecca Rideout

Physician Assistant in Lowell, Massachusetts

NPI Number1073993440
Practice location
295 Varnum Ave, Lowell, MA 01854
Fax
—
Last updated
November 27, 2019

Rebecca Rideout is a Physician Assistant based in Lowell, MA. Rebecca Rideout practices in Lowell, MA. The NPI Number for Rebecca Rideout is 1073993440 and holds a License No. PA6433 (MA). The current practice location address for Rebecca Rideout is 295 Varnum Ave, Lowell, MA 01854 and can be reached out via phone at 978-937-6000.

Provider Profile Details

NPI Number
1073993440
Provider Name
Rebecca Rideout
Provider Entity Type
Individual
Gender
Female
Address
295 Varnum Ave, Lowell, MA 01854
Phone Number
978-937-6000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 1, 2015
Last Update Date
November 27, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
295 Varnum Ave
Lowell, MA 01854
City
Lowell
Zip
01854
Phone Number
978-937-6000
Lowell, MA 01854Get directions →

Provider Business Mailing Address Details

Address
295 Varnum Ave
Lowell, MA 01854-2134
City
Lowell
State
MA
Zip
01854-2134
Phone Number
978-937-6000

License Information

License Number
PA6433
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rebecca Rideout?

The NPI number of Rebecca Rideout is 1073993440. It was assigned on June 1, 2015 and is currently active in the NPPES registry.

What is the specialty of Rebecca Rideout?

Rebecca Rideout is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA6433.

Where does Rebecca Rideout practice?

The practice location is 295 Varnum Ave, Lowell, MA 01854. The office can be reached at 978-937-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073993440 directly on the NPPES registry website.

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