Rachael Elizabeth McAllister, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

872163 Issued in MS

Practice address

14173 Saddie St
Diberville, MS 39540-8385

Phone

(228) 861-5953

NPI assigned

Jan 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rachaeel Elizabeth Bosarge Former name

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1366030413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14173 SADDIE ST",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395408385",
            "telephone_number": "228-861-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14173 SADDIE ST",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395408385",
            "telephone_number": "228-861-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "RACHAEL",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "872163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DIBERVILLE",
            "affiliation": "N",
            "endpointDescription": "Avast Business Pro Plus",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "PHI",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "14173 Saddie St",
            "city": "Diberville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395408385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DIBERVILLE",
            "affiliation": "N",
            "endpointDescription": "Avast Business Pro Plus",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "PHI",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "14173 Saddie St",
            "city": "Diberville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395408385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DIBERVILLE",
            "affiliation": "N",
            "endpointDescription": "Avast Business Pro Plus",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "PHI",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "14173 Saddie St",
            "city": "Diberville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395408385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHAEEL",
            "last_name": "BOSARGE",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Nurse in Diberville, MS
• Providers in Diberville, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.