Individual provider Active NPI

Rachel D Roy, NP

  • Nurse Practitioner
  • Dale, IN
National Provider Identifier
1346899465
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71009527A Issued in IN
Practice address
110 S Main Street
Dale, IN 47523
Phone
(812) 301-1328
Fax
(812) 301-1349
NPI assigned
Sep 11, 2019
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71009527A IN Primary

Addresses

Primary practice location

110 S Main Street
Dale, IN 47523

Mailing address

110 S Main Street
Dale, IN 47523
Phone (812) 301-1328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20191115001276 IN Practitioner - Nurse Practitioner 7911339767 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71009527AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc. Nurse Practitioner CurrentSince Oct 30, 2019 Accepting new patients
Deaconess Clinic Inc Nurse Practitioner CurrentSince Oct 30, 2019 Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Lifespring, Inc CurrentSince Apr 17, 2025 Accepting new patients
Lifespring, Inc CurrentSince Apr 17, 2025 Accepting new patients
Lifespring Inc Past Accepting new patients

Locations

110 S Main St
Dale, IN 47523
Phone (812) 301-1328

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

480 Eversman Dr
Ste 1
Jasper, IN 47546

460 Spring St
Jeffersonvlle, IN 47130
Phone (812) 280-3583

4233 Gateway Blvd
Newburgh, IN 47630
Phone (812) 474-7116

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1101 N Shelby St
Salem, IN 47167

Organizations & group practices 6

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": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1346899465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MAIN STREET",
            "city": "DALE",
            "state": "IN",
            "postal_code": "47523",
            "telephone_number": "812-301-1328",
            "fax_number": "812-301-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MAIN STREET",
            "city": "DALE",
            "state": "IN",
            "postal_code": "47523",
            "telephone_number": "812-301-1328",
            "fax_number": "812-301-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "RACHEL",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009527A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dale, IN

Sources for this page

Verify at the official NPI Registry.