Individual provider Active NPI

Rachel Gotip, WHNP

  • Women's Health Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1356939102
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
251444 Issued in AZ
Practice address
2055 W Frye Rd Ste 9
Chandler, AZ 85224-6277
Phone
(480) 821-3600
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 251444 AZ Primary

Addresses

Primary practice location

2055 W Frye Rd Ste 9
Chandler, AZ 85224-6277

Mailing address

PO Box 6730
Chandler, AZ 85246-6730
Phone (480) 821-3600

Other names 1

  • Rachel Adeoye Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220208002170 TX Practitioner - Nurse Practitioner 3072926047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 Austin St
Richmond, TX 77469-4406
Phone (281) 342-4530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251444AZMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Bend Family Health Center, Inc CurrentSince Jan 1, 2022 Accepting new patients
Fort Bend Family Health Center, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Fort Bend Family Health Center, Inc Past Accepting new patients

Locations

400 Austin St
Richmond, TX 77469
Phone (281) 342-4530

Interoperability endpoints

  • Direct secure messaging: rachel.gotip.p1@direct.accesshealth.nextgenshare.com

Organizations & group practices 3

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1356939102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6730",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466730",
            "telephone_number": "480-821-3600",
            "fax_number": "480-857-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 W FRYE RD STE 9",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246277",
            "telephone_number": "480-821-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTIP",
        "first_name": "RACHEL",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "251444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "ADEOYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.