Individual provider Active NPI

Racheal M Howell, APRN-BC

  • Family Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1053890913
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24608 Issued in TN
Practice address
2150 Brookmeade Dr Ste 130
Columbia, TN 38401-4088
Phone
(931) 840-8525
Fax
(931) 840-8535
NPI assigned
Aug 11, 2018
Last updated
Nov 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1053890913 TN
Family Nurse Practitioner 363LF0000X 24608 TN Primary

Addresses

Primary practice location

2150 Brookmeade Dr Ste 130
Columbia, TN 38401-4088

Mailing address

1 Badenhop Blvd
Fayetteville, TN 37334
Phone (931) 292-3729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20181024003099 TN Practitioner - Nurse Practitioner 9032462858 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Hillside LLCGroup PAC ID 9436240017, 25 clinicians

Practice addresses (Care Compare)

26032 Main St
Ardmore, TN 38449-3375
Phone (931) 427-1955

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1053890913TNMDNurse Practitioner
24608TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 1, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 1, 2021 Accepting new patients
Amg-Crockett, LLC Nurse Practitioner CurrentSince Oct 1, 2018 Accepting new patients
Amg-Hillside LLC CurrentSince Dec 1, 2023 Accepting new patients
Amg-Hillside LLC Family CurrentSince Dec 1, 2023 Accepting new patients
Amg-Hillside LLC Current Accepting new patients
Amg-Crockett, LLC CurrentSince Oct 1, 2018 Accepting new patients
Amg-Hillside LLC Past Accepting new patients
Amg Hillside LLC Past Accepting new patients

Locations

26032 Main St
Ardmore, TN 38449
Phone (931) 427-3020

641 E Commerce St
Lewisburg, TN 37091
Phone (931) 359-4555

1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514

181 Bre Ave
Ste C
Pulaski, TN 38478
Phone (931) 363-3086

204 Hillside Dr
Pulaski, TN 38478
Phone (931) 363-3514

Interoperability endpoints

  • Direct secure messaging: racheal.howell.1@19363.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1053890913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BADENHOP BLVD",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "37334",
            "telephone_number": "931-292-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 BROOKMEADE DR STE 130",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014088",
            "telephone_number": "931-840-8525",
            "fax_number": "931-840-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "RACHEAL",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-11",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "1053890913",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.