Rachael Suzanne Whiteside, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

SN0988 Issued in AZ

Practice address

1045 S Lenzner Ave
Sierra Vista, AZ 85635-4880

Phone

(520) 515-2930

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Sierra Vista Public Schools

  • Genetic Counselor (M.S.)
  • Sierra Vista, AZ
  • NPI 1558407429
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1437301587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 S LENZNER AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354880",
            "telephone_number": "520-515-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 S LENZNER AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354880",
            "telephone_number": "520-515-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "RACHAEL",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN140671",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "SN0988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Bernadette White, REGISTERED NURSE
• Fredric J White, DDS
• Jamie Rae White, D.M.D., M.S., DHSC
• Kyle White, FNP-C
• Larry L White, PT
• Priscilla D Whitlock-Coates, LPC
• Susan Wigetman, CRNA
• Jeffrey Virgil Wilde, M.D.
• Todd Wilde, DPT
• Ineke Wilkin, RD

• School Registered Nurse in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.