Active NPI
Rachael A. Hatfield, CRNA
- Certified Registered Nurse Anesthetist
- Indialantic, FL
National Provider Identifier
1326062043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP172122
- Practice address
- 748 Kiwi CT
Indialantic, FL 32903-4723 - Phone
- (321) 773-6702
- Fax
- (321) 434-1656
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 026785 | WV | |
| Certified Registered Nurse Anesthetist | 367500000X | ARNP172122 | FL | Primary |
Addresses
Primary practice location
748 Kiwi CT
Indialantic, FL 32903-4723
Mailing address
748 Kiwi CT
Indialantic, FL 32903-4723
Phone (321) 773-6702
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G0628 | Other | FL | BCBSFL |
| 3810002548 | Medicaid | WV |
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21993 | WV | MD | Psychiatry Physician |
| ARNP172122 | FL | MD | Certified Registered Nurse Anesthetist |
| 026785 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Stingl Family Foundation, Inc | Past | Accepting new patients | |
| Brevard Anesthesia Services PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Professional Anesthesia Service,Inc. | Past | Accepting new patients | |
| Center for Pain Relief, Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1699881664
Nurse Anesthetist, Certified Registered
-
- Interventional Pain Medicine Physician
- Charleston, WV
- NPI 1831116375
-
- Anesthesiology Physician
- Charleston, WV
- NPI 1720035827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1326062043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "748 KIWI CT",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329034723",
"telephone_number": "321-773-6702",
"fax_number": "321-434-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "748 KIWI CT",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329034723",
"telephone_number": "321-773-6702",
"fax_number": "321-434-1656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATFIELD",
"first_name": "RACHAEL",
"middle_name": "A.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "026785",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP172122",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL",
"identifier": "G0628",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810002548",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indialantic, FL
- Jay M Hagloch, MD
- Valerie Halstead, PHD, APRN, FNP-BC
- Andrew Hammonds
- Hanny K. Zakhari, DMD, PA
- Katherine Paige Harnden
- Alyssa Hearing, ATC, DPT
- Antoine S Hedary
- His Business Not Mine, Inc (FYZICAL Therapy & Balance Center - Mel Beach)
- Holiday CVS LLC (CVS Pharmacy 03151)
- Paula Relyea Holsinger, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.