1326007683 NPI number — REBEKAH TURNER REDDEL ARNP

Table of content: REBEKAH TURNER REDDEL ARNP (NPI 1326007683)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326007683 NPI number — REBEKAH TURNER REDDEL ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REDDEL
Provider First Name:
REBEKAH
Provider Middle Name:
TURNER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ARNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326007683
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/17/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18 ROBIN HOOD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LONDONDERRY
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03053-4021
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-930-6662
Provider Business Mailing Address Fax Number:
603-882-0360

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
172 ROUTE 101
Provider Second Line Business Practice Location Address:
UNIT 26
Provider Business Practice Location Address City Name:
BEDFORD
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03110-5416
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-930-6662
Provider Business Practice Location Address Fax Number:
603-882-0360
Provider Enumeration Date:
03/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  023022-23-08 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LW0102X , with the licence number: 023022-23-04 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LX0001X , with the licence number: 023022-23-04 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP0808X , with the licence number: 023022-23 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4004795Y0NH02 . This is a "ANTHEM BCBS" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 043775640 . This is a "PHCS" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 71061200 . This is a "MAGELLAN BEHAVIORAL HEALT" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 043775640 . This is a "PACIFICARE BEHAVIORAL HEA" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 11378324 . This is a "CAQH" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 2179171 . This is a "CIGNA BEHAVIORAL HEALTH" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: NP0203 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 043775640 . This is a "CIGNA HEALTHCARE" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 043775640 . This is a "HCVM/FIRST HEALTH" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 30005503 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 146392 . This is a "HEALTHSOURCE" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: S32339 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 501882 . This is a "VALUE OPTIONS" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".




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