Individual provider Active NPI

Rachel Fairchild, APRN

  • Family Nurse Practitioner
  • Okeechobee, FL
National Provider Identifier
1215577887
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005562 Issued in FL
Practice address
305 NE Park St
Okeechobee, FL 34972-2900
Phone
(863) 484-8154
NPI assigned
Jan 13, 2020
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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 APRN11005562 FL Primary

Addresses

Primary practice location

305 NE Park St
Okeechobee, FL 34972-2900

Mailing address

794 SW 85TH Ave
Okeechobee, FL 34974-1588

Other practice location 1

794 SW 85th Ave
Okeechobee, FL 34974-1588
Phone (863) 801-4006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210630002084 FL Practitioner - Nurse Practitioner 1759782501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7195 S George Blvd
Highland Urgent Care
Sebring, FL 33875-5823
Phone (863) 451-5854

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Medical Associates CurrentSince Mar 18, 2021 Accepting new patients
Treasure Coast Medical Associates CurrentSince Mar 18, 2021 Accepting new patients

Locations

3405 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-8082

305 NE Park St
Okeechobee, FL 34972
Phone (772) 692-8082

7195 S George Blvd
Sebring, FL 33875
Phone (863) 451-5854

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": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1215577887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 SW 85TH AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349741588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 NE PARK ST",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722900",
            "telephone_number": "863-484-8154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "794 SW 85th Ave",
            "address_purpose": "LOCATION",
            "city": "Okeechobee",
            "state": "FL",
            "postal_code": "349741588",
            "country_code": "US",
            "telephone_number": "863-801-4006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRCHILD",
        "first_name": "RACHEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

Verify at the official NPI Registry.