Individual provider Active NPI

Rachel Quintana

  • Acute Care Nurse Practitioner
  • Alachua, FL
National Provider Identifier
1043622467
Registry record updated Oct 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ARNP 9278563 Issued in FL
Practice address
10110 NW County Road 235
Alachua, FL 32615
Phone
(386) 462-7346
Fax
(386) 462-7381
NPI assigned
May 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2019

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 ARNP 9278563 FL Primary

Addresses

Primary practice location

10110 NW County Road 235
Alachua, FL 32615

Mailing address

10110 NW County Road 235
Alachua, FL 32615-6660
Phone (352) 339-3267

Other practice location 1

29277 US 19 N
Clearwater, FL 33761-2102
Phone (727) 687-1827

Other practice location 2

10110 NW County Road 235
Alachua, FL 32615
Phone (386) 462-7346

Other identifiers 1

IdentifierTypeStateIssuer
014839100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140902000349 FL Practitioner - Nurse Practitioner 0749408953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10110 NW County Rd
Suite 235
Alachua, FL 32615-6660

10110 Nwcounty Rd
Suite 235
Alachua, FL 32615-6660
Phone (386) 462-7346

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9278563FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Jan 4, 2016 Accepting new patients
Rachel Quintana, Arnp, LLC Acute Care CurrentSince Jul 8, 2014 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jan 4, 2016 Accepting new patients
Sunshine Surgical Assist Inc PastSince Apr 5, 2020 Accepting new patients
E. Fesmire, Crnfa, LLC PastSince Oct 20, 2019 Accepting new patients
Brazos Sa Services Past Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570838400000",
    "number": "1043622467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 NW COUNTY ROAD 235",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326156660",
            "telephone_number": "352-339-3267",
            "fax_number": "386-462-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 NW COUNTY ROAD 235",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "32615",
            "telephone_number": "386-462-7346",
            "fax_number": "386-462-7381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29277 US 19 N",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612102",
            "country_code": "US",
            "telephone_number": "727-687-1827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10110 NW County Road 235",
            "address_purpose": "LOCATION",
            "city": "Alachua",
            "state": "FL",
            "postal_code": "32615",
            "country_code": "US",
            "telephone_number": "386-462-7346",
            "fax_number": "386-462-7381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2019-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP 9278563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014839100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alachua, FL

Sources for this page

Verify at the official NPI Registry.