Rachel Tedesco, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5012513 Issued in NC

Practice address

44 McNeill PLZ
Whiteville, NC 28472-8602

Phone

(910) 641-4095

Fax

(910) 641-4097

NPI assigned

Nov 6, 2019

Last updated

Nov 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmetto Infusion Services LLCGroup PAC ID 4688578826, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Palmetto Infusion Services LLC

  dba Palmetto Infusion Services

  • Infusion Therapy Clinic/Center
  • West Columbia, SC
  • NPI 1265462659

  NC

  Medicare reassignment Care Compare group NPD
• Liberty Healthcare Group, LLC

  dba Liberty Home Care, LLC

  • Case Management Agency
  • Wilmington, NC
  • NPI 1629217856
  Medicare reassignment NPD
• Liberty Healthcare Group LLC

  dba Golden Years Nursing Center

  • Skilled Nursing Facility
  • Falcon, NC
  • NPI 1912040379
  NPD

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1063056687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MCNEILL PLZ",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284728602",
            "telephone_number": "910-642-5808",
            "fax_number": "910-641-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MCNEILL PLZ",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284728602",
            "telephone_number": "910-641-4095",
            "fax_number": "910-641-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCO",
        "first_name": "RACHEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superb Care, LLC
• David Kristofer Sutton, MD
• T L C Agency Inc
• Marianne Rachelle L. Taganas, MD
• Jessica Taylor, PHARM.D.
• The Good Apple
• The Hope & Healing Center Inc.
• The Mental Health Association in North Carolina, Inc. (Bridgeton Place)
• The T Allen Group LLC
• Sara-Maiz Afsani Thomas, MD

• Nurse Practitioner in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.