Individual provider Active NPI

Rachael A. Hatfield, CRNA

  • Certified Registered Nurse Anesthetist
  • Indialantic, FL
National Provider Identifier
1326062043
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP172122 Issued in FL
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G0628OtherFLBCBSFL
3810002548MedicaidWV

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

LicenseStateTypeSpecialty
21993WVMDPsychiatry Physician
ARNP172122FLMDCertified Registered Nurse Anesthetist
026785WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Stingl Family Foundation, Inc PastSince May 7, 2016 Accepting new patients
Brevard Anesthesia Services PA Nurse Anesthetist, Certified Registered PastSince Dec 1, 1999 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.

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

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.

Verify at the official NPI Registry.