Rachelle Ann Burgener

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

60548775 Issued in WA

Practice address

1904 Allen St
Kelso, WA 98626-4910

Phone

(360) 501-1924

NPI assigned

Jun 12, 2018

Last updated

Jun 12, 2018By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1063905206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 NW 17TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077946",
            "telephone_number": "520-663-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 ALLEN ST",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986264910",
            "telephone_number": "360-501-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGENER",
        "first_name": "RACHELLE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60548775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Brinkerhoff, NP
• Jordan Lee Brooks, MS MHCA SUDP CPC
• Kesiah Anne Brown
• Teresa Lee Brunelle, CDPT
• Michelle Buckholz, SUDP
• C & R Executives, LLC (A First Place)
• Heather Caesar, M.S., CCC-SLP
• Richelle Cain
• Teresea Joann Carson, LMP
• Dusty Ralynn Carter

• Occupational Therapist in Kelso, WA
• Providers in Kelso, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.