Active NPI
Rachel Louise Widrick, FNP
- Family Nurse Practitioner
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 29967
- Practice address
- 200 Church St
Nashville, TN 37201-1613 - Phone
- (615) 284-8194
- NPI assigned
- Jul 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 29967 | TN | Primary |
Addresses
Primary practice location
200 Church St
Nashville, TN 37201-1613
Mailing address
120 Providence TRL Apt 5314
Mt Juliet, TN 37122-6531
Phone (607) 240-9443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220915002081 | TN | Practitioner - Nurse Practitioner | 6002291754 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29967 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murfreesboro Medical Clinic, P.a. | Current | Accepting new patients | |
| Midtown Emergency Specialists PC | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Current | Accepting new patients |
Locations
1272 Garrison Dr
Ste 303
Murfreesboro, TN 37129
Phone (615) 849-9358
1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925
300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088
300 20th Ave N
Fl 9
Nashville, TN 37203
2000 Church St
#3
Nashville, TN 37236
Phone (615) 284-5555
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Murfreesboro, TN
- NPI 1639299803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1396418992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 PROVIDENCE TRL APT 5314",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371226531",
"telephone_number": "607-240-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CHURCH ST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372011613",
"telephone_number": "615-284-8194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDRICK",
"first_name": "RACHEL",
"middle_name": "LOUISE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-29",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "29967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.