Active NPI
Rachel Lacourse, PA-C
- Medical Physician Assistant
- Woonsocket, RI
National Provider Identifier
1295080315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA00650
- Practice address
- 115 Cass Ave
Woonsocket, RI 02895-4705 - Phone
- (401) 769-4100
- NPI assigned
- Jul 14, 2012
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Woonsocket, RI
- NPI 1487912168
-
- Integrative Medicine Physician
- Lenox, MA
- NPI 1508563594
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyman Integrative Therapies | Past | Accepting new patients | |
| Step Ri, PC | Past | Accepting new patients |
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA00650 | Primary |
Addresses
Primary practice location
115 Cass Ave
Woonsocket, RI 02895-4705
Mailing address
16 Lead Mine Rd
Southampton, MA 01073-9463
Phone (413) 209-2342
NPI Registry JSON
{
"created_epoch": "1342224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342224000000",
"number": "1295080315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 LEAD MINE RD",
"city": "SOUTHAMPTON",
"state": "MA",
"postal_code": "010739463",
"telephone_number": "413-209-2342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CASS AVE",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028954705",
"telephone_number": "401-769-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACOURSE",
"first_name": "RACHEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-14",
"last_updated": "2012-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": "PA00650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.