Active NPI
Rachel McCormick
- Pediatric Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1073006482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- SP018647
- Practice address
- St. Christopher'S Hospital for Children
160 East Erie Ave
Philadelphia, PA 19134 - Phone
- (215) 427-5000
- NPI assigned
- Jun 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | SP018647 | PA | Primary |
Addresses
Primary practice location
St. Christopher'S Hospital for Children
160 East Erie Ave
Philadelphia, PA 19134
Mailing address
140 Birchfield CT
Mount Laurel, NJ 08054-2567
Phone (609) 678-5523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP018647 | PA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| STC Pediatrics LLC | Current | Accepting new patients | |
| STC Pediatrics LLC | Current | Accepting new patients | |
| STC Pediatrics LLC | Current | Accepting new patients |
Locations
153 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 526-3200
160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067
300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363
Organizations & group practices 3
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.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1073006482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 BIRCHFIELD CT",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080542567",
"telephone_number": "609-678-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ST. CHRISTOPHER'S HOSPITAL FOR CHILDREN",
"address_2": "160 EAST ERIE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19134",
"telephone_number": "215-427-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "SP018647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.