Rachel Michele Mack

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2204000482 Issued in VA

Practice address

7648 McGaheysville Rd
Penn Laird, VA 22846-9779

Phone

(540) 289-3401

NPI assigned

Sep 25, 2020

Last updated

Sep 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Sunnyside Presbyterian HomeGroup PAC ID 9739107665, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sunnyside Presbyterian Home

  dba Sunnyside Communities Outpatient Rehab Services

  • Physical Therapist
  • Waynesboro, VA
  • NPI 1710752795

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1417564238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 PARKVIEW AVE",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012018",
            "telephone_number": "678-412-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7648 MCGAHEYSVILLE RD",
            "city": "PENN LAIRD",
            "state": "VA",
            "postal_code": "228469779",
            "telephone_number": "540-289-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "368 Blazer Dr",
            "address_purpose": "LOCATION",
            "city": "Penn Laird",
            "state": "VA",
            "postal_code": "228469551",
            "country_code": "US",
            "telephone_number": "540-289-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACK",
        "first_name": "RACHEL",
        "middle_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF AUDIOLOGY AND SPEECH LANGUAGE PATHOLOGY",
            "identifier": "2204000482",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Anne Conley-Johnson
• Kathleen A Culbertson, AUD
• Dennis Carlos Da Ponte, D.C.
• Sarah Hudson, ATC
• Amy Elizabeth Kubler
• Dana Conner Mather, PT
• Ashley McLellan, CCC-SLP
• Meadowcrest Audiology
• Breanne Metz, M.S., CCC-SLP
• Jennifer Ann Parker, RD

• Speech-Language Pathologist in Penn Laird, VA
• Providers in Penn Laird, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.