Active NPI
Cheryl R Rachels, CFNP
- Nurse Practitioner
- Aberdeen, NC
National Provider Identifier
1285662924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 200047
- Practice address
- 1902C North Sandhills Blvd
Aberdeen, NC 28315-2347 - Phone
- (910) 692-4011
- Fax
- (910) 695-1751
- NPI assigned
- Jun 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 200047 | NC | Primary |
Addresses
Primary practice location
1902C North Sandhills Blvd
Aberdeen, NC 28315-2347
Mailing address
205 Page Rd
Pinehurst, NC 28374-8798
Phone (910) 295-5511
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7003798 | Medicaid | NC | |
| FH4000135 | Other | NC | FCC PROVIDER NUMBER |
| NP0961 | Other | SC | SC MEDICAID PROVIDER# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200047 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinehurst Medical Clinic, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba PMC Reference Lab
- Clinical Medical Laboratory
- Southern Pines, NC
- NPI 1962509372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457481600000",
"number": "1285662924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PAGE RD",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748798",
"telephone_number": "910-295-5511",
"fax_number": "910-695-1751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902C NORTH SANDHILLS BLVD",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283152347",
"telephone_number": "910-692-4011",
"fax_number": "910-695-1751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACHELS",
"first_name": "CHERYL",
"middle_name": "R",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2016-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "200047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7003798",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FCC PROVIDER NUMBER",
"identifier": "FH4000135",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC MEDICAID PROVIDER#",
"identifier": "NP0961",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.