Individual provider Active NPI

Rachael Chandler, NP

  • Family Nurse Practitioner
  • Blytheville, AR
National Provider Identifier
1245870989
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
123644 Issued in AR
Practice address
Priority Health Clinic LLC
500 Park St
Blytheville, AR 72315-2424
Phone
(870) 860-7074
Fax
(870) 201-4196
NPI assigned
Jan 10, 2020
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 123644 AR Primary

Addresses

Primary practice location

Priority Health Clinic LLC
500 Park St
Blytheville, AR 72315-2424

Mailing address

112 Ramblewood Dr
Blytheville, AR 72315-7237
Phone (870) 278-3473

Other practice location 1

1100 Medical Dr
Blytheville, AR 72315-1425
Phone (870) 824-2809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20200303002441 AR Practitioner - Nurse Practitioner 7214364256 Reassigns benefits to 2 organizations

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
Priority Health Clinic LLCGroup PAC ID 8729500335, 2 clinicians

Practice addresses (Care Compare)

500 Park St
Blytheville, AR 72315-2424
Phone (870) 860-7074

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123644ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nea Reliant Health Care Professionals Inc Family CurrentSince Feb 13, 2025 Accepting new patients
Priority Health Clinic LLC Family CurrentSince Jan 6, 2025 Accepting new patients

Locations

500 Park St
Blytheville, AR 72315
Phone (870) 278-3473

9146 Highway 63 N
Bono, AR 72416
Phone (870) 930-9990

1045 W Main St
#C
Walnut Ridge, AR 72476
Phone (870) 886-8300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12230/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1245870989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 RAMBLEWOOD DR",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723157237",
            "telephone_number": "870-278-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRIORITY HEALTH CLINIC LLC",
            "address_2": "500 PARK ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152424",
            "telephone_number": "870-860-7074",
            "fax_number": "870-201-4196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Blytheville",
            "state": "AR",
            "postal_code": "723151425",
            "country_code": "US",
            "telephone_number": "870-824-2809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "RACHAEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "123644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blytheville, AR

Sources for this page

Verify at the official NPI Registry.