Individual provider Active NPI

Rachel Elizabeth Budd

  • Adult Health Nurse Practitioner
  • Girard, OH
National Provider Identifier
1013191519
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F1006059 Issued in OH
Practice address
1601 Motor Inn Dr
Suite 240
Girard, OH 44420-2420
Phone
(330) 759-6750
Fax
(330) 759-6755
NPI assigned
Dec 20, 2007
Last updated
Dec 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F1006059 OH Primary

Addresses

Primary practice location

1601 Motor Inn Dr
Suite 240
Girard, OH 44420-2420

Mailing address

1601 Motor Inn Dr
Suite 240
Girard, OH 44420-2420
Phone (330) 759-6750

Other identifiers 1

IdentifierTypeStateIssuer
F1006059OtherOHNURSE PRACTICIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20091015000126 OH Practitioner - Nurse Practitioner 5395881734 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1006059OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dan G Tubbs CurrentSince Nov 24, 2020 Accepting new patients

Locations

911 Graham Rd
Ste 66
Cuyahoga Fls, OH 44221
Phone (330) 945-4700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1013191519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MOTOR INN DR",
            "address_2": "SUITE 240",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202420",
            "telephone_number": "330-759-6750",
            "fax_number": "330-759-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MOTOR INN DR",
            "address_2": "SUITE 240",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202420",
            "telephone_number": "330-759-6750",
            "fax_number": "330-759-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDD",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "F1006059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTICIONER",
            "identifier": "F1006059",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Girard, OH

Sources for this page

Verify at the official NPI Registry.