Active NPI
Rachel Rose Pratt, NP
- Nurse Practitioner
- Liverpool, NY
National Provider Identifier
1518749464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F352205-01
- Practice address
- 4971 Bear Rd
Liverpool, NY 13088-4156 - Phone
- (315) 451-9509
- NPI assigned
- Oct 16, 2023
- Last updated
- Nov 13, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F352205-01 | NY | Primary |
| Adult Medicine Physician | 207QA0505X | F352205-01 | NY |
Addresses
Primary practice location
4971 Bear Rd
Liverpool, NY 13088-4156
Mailing address
4971 Bear Rd
Liverpool, NY 13088-4156
Phone (315) 451-9509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F352205-01 | NY | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1518749464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4971 BEAR RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130884156",
"telephone_number": "315-451-9509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4971 BEAR RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130884156",
"telephone_number": "315-451-9509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "RACHEL",
"middle_name": "ROSE",
"name_prefix": "Miss",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-16",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F352205-01",
"primary": true
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NY",
"license": "F352205-01",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liverpool, NY
- Catherine Porter
- Julia E Porter, RN
- Catherine Powell, N.P.
- Douglass Powell, M.D.
- Jay Prakash, DDS
- Premise Health of New York Medical PC (The Wellness Center Operated by Premise Health)
- Diane Primerano, LPN
- Proactive of Pennsylvania PC (PROActive Physical Therapy)
- Probe Health Services
- Charles David Prosser, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.