Individual provider Active NPI

Rachel Kathryn Wurdemann, DC

  • Chiropractor
  • Daniel Island, SC
National Provider Identifier
1427512409
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4372 Issued in SC
Practice address
194 Seven Farms Dr Unit 600D
Daniel Island, SC 29492-8509
Phone
(843) 751-2234
NPI assigned
Jan 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4372 SC Primary

Addresses

Primary practice location

194 Seven Farms Dr Unit 600D
Daniel Island, SC 29492-8509

Mailing address

130 River Landing Dr Unit 11102
Daniel Island, SC 29492-7427
Phone (651) 724-7094

Other names 1

  • Rachel Kathryn Schmidt Former name

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

State licenses

LicenseStateTypeSpecialty
4372SCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1427512409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RIVER LANDING DR UNIT 11102",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927427",
            "telephone_number": "651-724-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 SEVEN FARMS DR UNIT 600D",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928509",
            "telephone_number": "843-751-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURDEMANN",
        "first_name": "RACHEL",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SCHMIDT",
            "middle_name": "KATHRYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daniel Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.

Verify at the official NPI Registry.