Individual provider Active NPI

Rachel Annette Tax, APRN

  • Family Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1356948871
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009237 Issued in FL
Practice address
325 Sunset Dr
St Augustine, FL 32080-9101
Phone
(571) 277-0522
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11009237 FL Primary

Addresses

Primary practice location

325 Sunset Dr
St Augustine, FL 32080-9101

Mailing address

325 Sunset Dr
St Augustine, FL 32080-9101
Phone (571) 277-0522

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rachel.tax@adventhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210914000285 FL Practitioner - Nurse Practitioner 8729484977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D.H. Medical, LLCGroup PAC ID 6103014618, 19 clinicians

Practice addresses (Care Compare)

226 N Nova Rd
Suite 184
Ormond Beach, FL 32174-5124
Phone (888) 808-0488

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Jacksonville, FL, CCN 107689
  • Bravery Home Healthcare Home health agency, St Augustine, FL, CCN 687344

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
D.H. Medical, LLC CurrentSince Jan 7, 2024 Accepting new patients
Express Family Care CurrentSince Jun 5, 2021 Accepting new patients

Locations

300 S Main St
Crescent City, FL 32112
Phone (386) 530-4990

226 N Nova Rd
Ormond Beach, FL 32174
Phone (386) 235-1489

735 Dunlawton Ave
Port Orange, FL 32127
Phone (386) 872-5190

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 2

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": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1356948871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SUNSET DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320809101",
            "telephone_number": "571-277-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SUNSET DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320809101",
            "telephone_number": "571-277-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAX",
        "first_name": "RACHEL",
        "middle_name": "ANNETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachel.tax@adventhealth.com",
            "affiliation": "N",
            "address_1": "325 Sunset Dr",
            "city": "St Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320809101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.