NPIMap

Individual provider Active NPI

Rachel Marie Sullivan, M.D.

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1346529310
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A130463 Issued in CA
Practice address
2510 Airpark Dr Ste 201
Redding, CA 96001-2461
Phone
(530) 244-4034
Fax
(530) 244-1821
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A130463 CA Primary

Addresses

Primary practice location

2510 Airpark Dr Ste 201
Redding, CA 96001-2461

Mailing address

2510 Airpark Dr Ste 201
Redding, CA 96001-2461
Phone (530) 244-4034

Other names 1

  • Dr. Rachel Marie Harden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140910001254 CA Practitioner - Family Practice 6608095468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Redding Family Medical Group IncGroup PAC ID 4385691815, 5 clinicians

Practice addresses (Care Compare)

2510 Airpark Dr
Suite 201
Redding, CA 96001-2461
Phone (530) 244-4034

Hospital & facility affiliations

  • Northstar Healthcare Services Home health agency, Sacramento, CA, CCN 757243
  • Medical Home Care Professionals Home health agency, Redding, CA, CCN 557107
  • Mercy Home Care Home health agency, Redding, CA, CCN 057609
  • Valley View Healthcare Services LLC Home health agency, Chico, CA, CCN 559751
  • Mission Home Health of Redding Home health agency, Redding, CA, CCN 059579
  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
  • St Elizabeth Community Hospital Hospital, Red Bluff, CA, CCN 050042

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A130463CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Family Medical Group Inc Family Medicine CurrentSince Sep 1, 2014 Accepting new patients
Dignity Health PastSince Sep 1, 2014 Accepting new patients

Locations

2510 Airpark Dr
Ste 201
Redding, CA 96001
Phone (530) 244-4034

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346529310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DR STE 201",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012461",
            "telephone_number": "530-244-4034",
            "fax_number": "530-244-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 AIRPARK DR STE 201",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012461",
            "telephone_number": "530-244-4034",
            "fax_number": "530-244-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A130463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "HARDEN",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.