Rachel Drake, MSN,RN,MS,RD, PNP-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

12210 Issued in CT

Practice address

414 High St
Middletown, CT 06457-2633

Phone

(860) 759-3733

NPI assigned

Sep 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Rachel Glennon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1376877662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 HIGH ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572633",
            "telephone_number": "860-759-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 HIGH ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572633",
            "telephone_number": "860-759-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "RACHEL",
        "credential": "MSN,RN,MS,RD, PNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "917",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "183740",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "12210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "GLENNON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alan Douglass, M.D.
• Kyra Doumlele, MD
• Kristine Doyle, MD
• Mary Theresa Doyle, LCSW
• Sarah G Doyle, LCSW
• Cliff R Drechsler-Martell, MD
• Victoria Marie Dreisbach, D.O.
• Drysgula Family Dentistry LLC
• Edward Stanley Drysgula Jr., DMD
• Michael Alexander Drysgula, DMD

• Pediatric Nurse Practitioner in Middletown, CT
• Providers in Middletown, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.