Active NPI
Rachael Otto, RN
- Registered Nurse
- Saint Louis, MI
National Provider Identifier
1366905440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4704287898
- Practice address
- 118 Euclid St
Saint Louis, MI 48880-1901 - Phone
- (989) 317-6778
- NPI assigned
- Apr 7, 2019
- Last updated
- Apr 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704287898 | MI | Primary |
Addresses
Primary practice location
118 Euclid St
Saint Louis, MI 48880-1901
Mailing address
118 Euclid St
Saint Louis, MI 48880-1901
Phone (989) 317-6778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704287898 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554595200000",
"number": "1366905440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 EUCLID ST",
"city": "SAINT LOUIS",
"state": "MI",
"postal_code": "488801901",
"telephone_number": "989-317-6778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 EUCLID ST",
"city": "SAINT LOUIS",
"state": "MI",
"postal_code": "488801901",
"telephone_number": "989-317-6778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTO",
"first_name": "RACHAEL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-07",
"last_updated": "2019-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704287898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MI
- Jordan Murray, M.A., CCC- SLP
- Mymichigan Medical Center Alma
- Mymichigan Medical Center Alma
- Stephen K Near, O.D.
- Kimberly Oboyle
- Michael Palmer, M.S., BCBA
- Peak Physical Therapy, Inc.
- Edward Lee Pearson, NURSE PRACTITIONER
- Pine River Healthcare LLC (Pine River Healthcare Center)
- Kimberly Rose Prieskorn, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.