Healthcare Provider Details

I. General information

NPI: 1558474163
Provider Name (Legal Business Name): REBECCA E SARICH RN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 DOCTOR OATES DR STE 105
MARTINSBURG WV
25401-8896
US

IV. Provider business mailing address

2 MEDICAL CENTER DR SUITE 202
SPRINGFIELD MA
01107-1270
US

V. Phone/Fax

Practice location:
  • Phone: 304-596-5780
  • Fax:
Mailing address:
  • Phone: 413-205-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number112078
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number000281
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2269658
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number071319
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: