Rachel Peth, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5209 Kerley LN
Sachse, TX 75048-4751

Phone

(573) 434-2784

NPI assigned

Feb 15, 2023

Last updated

Feb 15, 2023By the provider in NPPES

Sex

Female

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Texas Children's Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  Medicare reassignment
• Radiology Associates of Children's Hospital, Inc

  dba Rach

  • Pediatric Radiology Physician
  • Philadelphia, PA
  • NPI 1467403261
  NPD (past)

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1255038626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 KERLEY LN",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750484751",
            "telephone_number": "573-434-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 KERLEY LN",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750484751",
            "telephone_number": "573-434-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETH",
        "first_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pavillion Medical Transportation LLC
• Peace Avenue PLLC
• Peec Home Health Care Services Inc
• Teresa P Perez, MA, LPC
• Brandi Renee Petee
• Hang Phan, LPC
• Phoenix Community Services, Inc.
• Paige Pierce, MS, RD, LD
• Amber D Porter, CD, CPD, CBE
• Alena Posada, CCC-SLP

• Physician Assistant in Sachse, TX
• Providers in Sachse, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.