REBECCA HEADRICK PA NPI 1871168724

NPI Information

NPI: 1871168724
Provider Name: REBECCA HEADRICK, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
725 ALBANY STREET
SHAPIRO 6B
BOSTON, MA
ZIP 02118
Phone: (617) 414-8054
Get Directions

Rebecca Headrick, PA is a surgical physician assistant in Boston, MA with 3 years of experience. Rebecca Headrick, PA NPI is 1871168724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

725 ALBANY STREET
SHAPIRO 6B
BOSTON, MA
ZIP 02118
Phone: (617) 414-8054
Fax: (617) 414-8055

The NPI 1871168724 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2021 and was last updated on 9/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant				No
2	363A00000X	Physician Assistant		PA8146	MASSACHUSETTS	No
3	363AS0400X	Physician Assistant	Surgical	PA.0007921	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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