Individual provider Active NPI

Rachel Warren Rish, CFNP

  • Family Nurse Practitioner
  • Houlka, MS
National Provider Identifier
1164584223
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R692158 Issued in MS
Practice address
106 Walker St
Access Family Health Services, Inc.
Houlka, MS 38850-9453
Phone
(662) 568-3316
Fax
(662) 568-3360
NPI assigned
Dec 15, 2006
Last updated
Jan 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R692158 MS Primary

Addresses

Primary practice location

106 Walker St
Access Family Health Services, Inc.
Houlka, MS 38850-9453

Mailing address

106 Walker St
Access Family Health Services, Inc.
Houlka, MS 38850-9453
Phone (662) 568-3316

Other identifiers 1

IdentifierTypeStateIssuer
08551791MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050414000709 MS Practitioner - Nurse Practitioner 0840237491 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R692158MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc Family CurrentSince Apr 23, 2012 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Apr 23, 2012 Accepting new patients

Locations

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1164584223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WALKER ST",
            "address_2": "ACCESS FAMILY HEALTH SERVICES, INC.",
            "city": "HOULKA",
            "state": "MS",
            "postal_code": "388509453",
            "telephone_number": "662-568-3316",
            "fax_number": "662-568-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WALKER ST",
            "address_2": "ACCESS FAMILY HEALTH SERVICES, INC.",
            "city": "HOULKA",
            "state": "MS",
            "postal_code": "388509453",
            "telephone_number": "662-568-3316",
            "fax_number": "662-568-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISH",
        "first_name": "RACHEL",
        "middle_name": "WARREN",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R692158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08551791",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houlka, MS

Sources for this page

Verify at the official NPI Registry.