Individual provider Active NPI

Rachel Lynn Goldsborough

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1437752086
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R223111 Issued in MD
Practice address
200 E Vine St Ste B
Salisbury, MD 21804-5531
Phone
(443) 358-6445
NPI assigned
Nov 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R223111 MD Primary

Addresses

Primary practice location

200 E Vine St Ste B
Salisbury, MD 21804-5531

Mailing address

7055 Boggs Schoolhouse Rd
Westover, MD 21871-3739
Phone (443) 944-4832

Other names 1

  • Rachel Lynn Spadin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL SOAP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201215002990 MD Practitioner - Nurse Practitioner 2365854320 Reassigns benefits to 1 organization
I20240314002030 DC Practitioner - Nurse Practitioner 2365854320 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R223111MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Health Weight Management, LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

6700 Race Track Rd
Bowie, MD 20715
Phone (301) 383-2581

499 Idlewild Ave
Ste 104
Easton, MD 21601
Phone (410) 697-3832

118 E Oak Ridge Dr
Ste 1100
Hagerstown, MD 21740
Phone (240) 382-1312

1099 Winterson Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 929-1785

1111 Benfield Blvd
Ste 250
Millersville, MD 21108
Phone (410) 863-7213

5022 Campbell Blvd
Ste Lm
Nottingham, MD 21236
Phone (443) 442-1568

200 E Vine St
Ste B
Salisbury, MD 21804
Phone (443) 358-6445

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1437752086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 BOGGS SCHOOLHOUSE RD",
            "city": "WESTOVER",
            "state": "MD",
            "postal_code": "218713739",
            "telephone_number": "443-944-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E VINE ST STE B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045531",
            "telephone_number": "443-358-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSBOROUGH",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R223111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SOAP",
            "affiliation": "N",
            "address_1": "200 E Vine St Ste B",
            "city": "Salisbury",
            "state": "MD",
            "country_code": "US",
            "postal_code": "218045531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SPADIN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.