Individual provider Active NPI

Rachel Austen Nardin, MD

  • Neurology Physician
  • Cambridge, MA
National Provider Identifier
1548257447
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
81165 Issued in MA
Practice address
174 Franklin St
Cambridge, MA 02139-4024
Phone
(617) 820-4275
NPI assigned
Oct 5, 2005
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 81165 MA
Neurology Physician 2084N0400X 81165 MA Primary

Addresses

Primary practice location

174 Franklin St
Cambridge, MA 02139-4024

Mailing address

174 Franklin St
Cambridge, MA 02139-4024
Phone (617) 820-4275

Other practice location 1

649 Massachusetts Ave Ste 7
Cambridge, MA 02139-3360
Phone (617) 520-4964

Other identifiers 2

IdentifierTypeStateIssuer
762215OtherMATUFTS
3159311MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.rachelnardin.com Health Information Exchange (HIE)

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2023 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1548257447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 FRANKLIN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021394024",
            "telephone_number": "617-820-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 FRANKLIN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021394024",
            "telephone_number": "617-820-4275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "649 Massachusetts Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021393360",
            "country_code": "US",
            "telephone_number": "617-520-4964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARDIN",
        "first_name": "RACHEL",
        "middle_name": "AUSTEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "81165",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "81165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "762215",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3159311",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.rachelnardin.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "174 Franklin St",
            "city": "Cambridge",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021394024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.