Rachel A McClintock, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP026783 Issued in PA

Practice address

200 Bowman Dr Ste E360
Voorhees, NJ 08043-9603

Phone

(856) 751-7880

NPI assigned

Jan 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Urology for Children LLC

  • Pediatric Urology Physician
  • Voorhees, NJ
  • NPI 1780736686

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1124733134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 MEETINGHOUSE RD",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291155",
            "telephone_number": "215-534-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DR STE E360",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439603",
            "telephone_number": "856-751-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Hurffville-Crosskeys",
            "address_2": "Ste 240",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804002",
            "country_code": "US",
            "telephone_number": "856-751-7880",
            "fax_number": "856-751-9133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 East Atlantic Avenue",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081041132",
            "country_code": "US",
            "telephone_number": "856-751-7880",
            "fax_number": "856-751-9133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 York Road",
            "address_2": "Ste 250",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "190462870",
            "country_code": "US",
            "telephone_number": "856-751-7880",
            "fax_number": "856-751-9133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "859 Town Center",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471752",
            "country_code": "US",
            "telephone_number": "856-751-7880",
            "fax_number": "856-751-9133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5425 Lanark Road",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Center Valley",
            "state": "PA",
            "postal_code": "180348697",
            "country_code": "US",
            "telephone_number": "856-751-7880",
            "fax_number": "856-751-9133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 E Erie Avenue",
            "address_2": "Ste 2205",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191341011",
            "country_code": "US",
            "telephone_number": "856-751-7880",
            "fax_number": "856-751-9133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "RACHEL",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NR11174300",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP026783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "IDK",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "200 Bowman Dr Ste E360",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa McBride, APN
• Nicole Elizabeth McCabe, OTR/L
• Olivia McCammon, LPC, MT-BC, NCC
• Bonnie Lee McCleary, CDA, RDA
• Susan McClintock-Pattay
• Alexis Marie McCollum, BSHS, MSOT, OTR/L
• Rasheed McCord, LPC
• James Michael McCrossin, ATC
• Angela McDonald
• Jill M McDonald, NP

• Pediatric Nurse Practitioner in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.

Verify at the official NPI Registry.