Individual provider Active NPI

Rachel L Burgett, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Port Orchard, WA
National Provider Identifier
1346285202
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP30004799 Issued in WA
Practice address
7926 Promenade Lane
Port Orchard, WA 98367
Phone
(360) 871-2800
Fax
(360) 871-2800
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30004799 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP30004799 WA Primary

Addresses

Primary practice location

7926 Promenade Lane
Port Orchard, WA 98367

Mailing address

PO Box 1586
Port Orchard, WA 98366
Phone (360) 871-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070618000304 WA Practitioner - Nurse Practitioner 2860468683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 W Alpine Way
Shelton, WA 98584-1233
Phone (360) 358-3473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30004799WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abraxas Counseling & Consulting, Inc CurrentSince Aug 22, 2004 Accepting new patients

Locations

140 S Marion Ave
Bremerton, WA 98312
Phone (360) 479-4747

560 Lebo Blvd
Bremerton, WA 98310
Phone (360) 377-3951

2701 Clare Ave
Bremerton, WA 98310
Phone (360) 377-3951

10861 NE Manitou Park Blvd
Seattle, WA 98110
Phone (206) 842-2654

153 Johns Ct
Shelton, WA 98584
Phone (360) 427-2575

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1346285202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1586",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98366",
            "telephone_number": "360-871-2800",
            "fax_number": "360-871-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7926 PROMENADE LANE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "98367",
            "telephone_number": "360-871-2800",
            "fax_number": "360-871-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGETT",
        "first_name": "RACHEL",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30004799",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30004799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

Verify at the official NPI Registry.