Rafael Achacoso, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61403331 Issued in WA

Practice address

2105 5TH Ave
Seattle, WA 98121-2932

Phone

(206) 486-6501

Fax

(206) 710-2264

NPI assigned

Jan 30, 2023

Last updated

Nov 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sublimity Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
  • NPI 1720785736

  Single Specialty

  NPD Authorized official
• Vest Seattle, LLC

  dba Smokey Point Behavioral Hospital

  • Psychiatry Physician
  • Marysville, WA
  • NPI 1104338144

  Single Specialty

  NPD
• Affect Therapeutics Inc

  dba Affect Therapeutics

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Charlottesville, VA
  • NPI 1104402064

  Single Specialty

  NPD

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1134835432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LENORA STREET",
            "address_2": "PMB 6345",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98121",
            "telephone_number": "206-486-6501",
            "fax_number": "206-710-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 5TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212932",
            "telephone_number": "206-486-6501",
            "fax_number": "206-710-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHACOSO",
        "first_name": "RAFAEL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61403331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jadine Catherine Acena, DDS
• Alvin P Aceron, ARNP
• Melanie Acevedo
• Daisy Marie Aceves, PHD
• Francis Rainier Achacoso, MBA, MSN, RN, NE-BC
• Patricia Trinidad Acharya, M.D.
• Emmanuel K Acheampong Jr., PT, DPT
• Karen Erika Acheson, LICSW
• Lauren K. Acheson, RDH
• Jennifer Strong Achilles, MD

• Psychiatric/Mental Health Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.