Active NPI
Rachel Mae Nelson Bagha, BA
- Student in an Organized Health Care Education/Training Program
- Milwaukee, WI
National Provider Identifier
1386293330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1849 N Doctor M.L.K. Jr Dr #101
Milwaukee, WI 53212 - Phone
- (414) 347-1774
- NPI assigned
- Sep 11, 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1849 N Doctor M.L.K. Jr Dr #101
Milwaukee, WI 53212
Mailing address
3845 S 52ND St
Milwaukee, WI 53220-2023
Phone (414) 303-9154
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
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1386293330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3845 S 52ND ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532202023",
"telephone_number": "414-303-9154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1849 N DOCTOR M.L.K. JR DR #101",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53212",
"telephone_number": "414-347-1774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGHA",
"first_name": "RACHEL",
"middle_name": "MAE NELSON",
"name_prefix": "Ms.",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.