Active NPI
Rachel McMahan Thomas, ARNP
- Family Nurse Practitioner
- Macclenny, FL
National Provider Identifier
1245477181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP3397642
- Practice address
- 480 W Lowder St
Macclenny, FL 32063-2664 - Phone
- (904) 259-6291
- Fax
- (904) 259-4761
- NPI assigned
- Jan 14, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 3397642 | FL | |
| Family Nurse Practitioner | 363LF0000X | ARNP3397642 | FL | Primary |
Addresses
Primary practice location
480 W Lowder St
Macclenny, FL 32063-2664
Mailing address
480 W Lowder St
Macclenny, FL 32063-2664
Phone (904) 259-6291
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008565000 | Medicaid | FL | |
| HD406Z | Other | FL | MEDICARE |
Other names 1
- Rachel L McMahan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3397642 | FL | MD | Pediatric Registered Nurse |
Interoperability endpoints
- rthomas37255@direct.shands.ufl.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1245477181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 W LOWDER ST",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632664",
"telephone_number": "904-259-6291",
"fax_number": "904-259-4761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 W LOWDER ST",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632664",
"telephone_number": "904-259-6291",
"fax_number": "904-259-4761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "RACHEL",
"middle_name": "MCMAHAN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-14",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "FL",
"license": "3397642",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP3397642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008565000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "HD406Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "MCMAHAN",
"middle_name": "L",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Macclenny, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.