Individual provider Active NPI

Rachel Elizabeth Larochelle, ARNP

  • Women's Health Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1114062189
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
ARNP2584052 Issued in FL
Practice address
780 SW 24TH St
Medical Administration
Fort Lauderdale, FL 33315-2643
Phone
(954) 467-4822
Fax
(954) 760-7798
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X ARNP2584052 FL Primary

Addresses

Primary practice location

780 SW 24TH St
Medical Administration
Fort Lauderdale, FL 33315-2643

Mailing address

780 SW 24TH St
Fort Lauderdale, FL 33315-2643

Other identifiers 1

IdentifierTypeStateIssuer
301682000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1114062189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 SW 24TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SW 24TH ST",
            "address_2": "MEDICAL ADMINISTRATION",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152643",
            "telephone_number": "954-467-4822",
            "fax_number": "954-760-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCHELLE",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP2584052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301682000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.