Active NPI
Rachel Blackwell, NP
- Nurse Practitioner
- Binghamton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5013919
- Practice address
- 169 Riverside Dr
Binghamton, NY 13905-4246 - Phone
- (607) 798-5671
- Fax
- (888) 241-1404
- NPI assigned
- May 14, 2014
- Last updated
- Jan 26, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5013919 | NC | Primary |
| Nurse Practitioner | 363L00000X | 3389681 | NY | |
| Family Nurse Practitioner | 363LF0000X | 3389681 | NY |
Addresses
Primary practice location
169 Riverside Dr
Binghamton, NY 13905-4246
Mailing address
5410 Maryland Way
Suite 300
Brentwood, TN 37027-5064
Phone (615) 577-6352
Other names 1
- Rachel Laufersweiler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 329-1234
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3389681 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Hospitalist Services PC | Nurse Practitioner | Current | Accepting new patients |
| Curana Health of South Carolina PC | Current | Accepting new patients | |
| Cogent Medical Care PC | Nurse Practitioner | Current | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750
255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
Nurse Practitioner
-
- Internal Medicine Physician
- East Patchogue, NY
- NPI 1912941238
Nurse Practitioner
-
- Internal Medicine Physician
- North Charleston, SC
- NPI 1316477896
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Medical Center
- General Acute Care Hospital
- Rock Hill, SC
- NPI 1457382483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1376954198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 MARYLAND WAY",
"address_2": "SUITE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275064",
"telephone_number": "615-577-6352",
"fax_number": "615-810-8969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 RIVERSIDE DR",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054246",
"telephone_number": "607-798-5671",
"fax_number": "888-241-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKWELL",
"first_name": "RACHEL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5013919",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "3389681",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "3389681",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "LAUFERSWEILER",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.