Individual provider Active NPI

Rachel Peters

  • Behavior Analyst
  • Tallahassee, FL
National Provider Identifier
1114330073
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1909 Hillbrooke TRL Ste 3
Tallahassee, FL 32311-7902
Phone
(850) 299-4862
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1909 Hillbrooke TRL Ste 3
Tallahassee, FL 32311-7902

Mailing address

1842 Jaclif CT
Tallahassee, FL 32308-4400

Other practice location 1

1800 W Big Beaver Rd
Troy, MI 48084-3545
Phone (248) 255-6305

Other practice location 2

1842 Jaclif Ct
Tallahassee, FL 32308-4400
Phone (850) 298-8862

Other names 1

  • Rachel Van Poppelen Former name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1114330073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 JACLIF CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 HILLBROOKE TRL STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323117902",
            "telephone_number": "850-299-4862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 W Big Beaver Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480843545",
            "country_code": "US",
            "telephone_number": "248-255-6305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1842 Jaclif Ct",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084400",
            "country_code": "US",
            "telephone_number": "850-298-8862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "VAN POPPELEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.