Individual provider Active NPI

Rachelle Catherine Perry

  • Acute Care Nurse Practitioner
  • Ivins, UT
National Provider Identifier
1023795994
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
9845968-4405 Issued in UT
Practice address
284 N Painted Hills Dr
Ivins, UT 84738-6081
Phone
(949) 573-2130
NPI assigned
Jun 30, 2023
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 9845968-4405 UT Primary

Addresses

Primary practice location

284 N Painted Hills Dr
Ivins, UT 84738-6081

Mailing address

284 N Painted Hills Dr
Ivins, UT 84738-6081
Phone (949) 573-2130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20231009003101 UT Practitioner - Nurse Practitioner 8729433982

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

284 N Painted Hills Dr
Ivins, UT 84738-6081

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1023795994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 N PAINTED HILLS DR",
            "city": "IVINS",
            "state": "UT",
            "postal_code": "847386081",
            "telephone_number": "949-573-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 N PAINTED HILLS DR",
            "city": "IVINS",
            "state": "UT",
            "postal_code": "847386081",
            "telephone_number": "949-573-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "RACHELLE",
        "middle_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "9845968-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ivins, UT

Sources for this page

Verify at the official NPI Registry.