Individual provider Active NPI

Rachel Coates Cavanna, DC

  • Chiropractor
  • Old Saybrook, CT
National Provider Identifier
1255438826
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001732 Issued in CT
Practice address
210 Main St
Old Saybrook, CT 06475-2333
Phone
(860) 388-9390
Fax
(860) 388-9391
NPI assigned
Sep 17, 2006
Last updated
Aug 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001732 CT Primary

Addresses

Primary practice location

210 Main St
Old Saybrook, CT 06475-2333

Mailing address

210 Main St
Old Saybrook, CT 06475-2333
Phone (860) 388-9390

Other names 1

  • Dr. Rachel May Coates Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081016000561 CT Practitioner - Chiropractic 9234233669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 Main St
Old Saybrook, CT 06475-2333
Phone (860) 388-9390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1732CTMDClinical Psychologist
3102MAMDPhysical Therapy Assistant
001732CTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Wellness Chiropractic Chiropractor CurrentSince Aug 29, 2008 Accepting new patients
Debra Tranberg Chiropractor Past Accepting new patients
Infinity Holdings Inc Chiropractor Past Accepting new patients

Locations

210 Main St
Old Saybrook, CT 06475
Phone (860) 388-9390

210 Main St
Ste 3
Old Saybrook, CT 06475

Organizations & group practices 3

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1255438826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MAIN ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752333",
            "telephone_number": "860-388-9390",
            "fax_number": "860-388-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MAIN ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752333",
            "telephone_number": "860-388-9390",
            "fax_number": "860-388-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANNA",
        "first_name": "RACHEL",
        "middle_name": "COATES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "COATES",
            "middle_name": "MAY",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Old Saybrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.