Active NPI
Rachel J Carlson, APN
- Nurse Practitioner
- Romeoville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209006040
- Practice address
- 1280 Windham Pkwy # 104
Romeoville, IL 60446-1673 - Phone
- (630) 378-9785
- NPI assigned
- Aug 3, 2006
- Last updated
- May 27, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209006040 | IL | Primary |
Addresses
Primary practice location
1280 Windham Pkwy # 104
Romeoville, IL 60446-1673
Mailing address
726 S Weber Rd
Bolingbrook, IL 60490-5451
Phone (630) 378-9785
Other names 1
- Rachel J Truitt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E Mediate Cure LLC | Current | Accepting new patients | |
| A Plus Healthcare Management LLC | Nurse Practitioner | Current | Accepting new patients |
| Srinivas C Kota MD SC | Current | Accepting new patients | |
| E Mediate Cure LLC | Current | Accepting new patients | |
| Family Foot and Ankle Care, P.C. | Past | Accepting new patients |
Locations
726 S Weber Rd
Ste A
Bolingbrook, IL 60490
Phone (630) 378-9785
1508 Essington Rd
Ste 5
Joliet, IL 60435
Phone (815) 733-5952
1280 Windham Pkwy
#104
Romeoville, IL 60446
Phone (630) 378-9785
1039 Brook Forest Ave
Shorewood, IL 60404
Phone (815) 681-7733
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- rachel.carlson.1@17829.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Romeoville, IL
- NPI 1689970360
-
dba midwest express clinic
- Nurse Practitioner
- Shorewood, IL
- NPI 1679961742
-
- Urgent Care Clinic/Center
- Joliet, IL
- NPI 1285482760
-
- Durable Medical Equipment & Medical Supplies
- Bolingbrook, IL
- NPI 1104941574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1497763882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 S WEBER RD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604905451",
"telephone_number": "630-378-9785",
"fax_number": "630-378-9836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 WINDHAM PKWY # 104",
"city": "ROMEOVILLE",
"state": "IL",
"postal_code": "604461673",
"telephone_number": "630-378-9785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "RACHEL",
"middle_name": "J",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209006040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "TRUITT",
"middle_name": "J",
"credential": "APN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Romeoville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.