Active NPI
Rachel Marie Archer, AUD
- Audiologist
- Vancouver, WA
National Provider Identifier
1558036897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD61459782
- Practice address
- 2621 NE 134TH St Ste 300
Vancouver, WA 98686-3036 - Phone
- (360) 882-2778
- NPI assigned
- Aug 10, 2021
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 110126 | IA | |
| Audiologist | 231H00000X | LD61459782 | WA | Primary |
Addresses
Primary practice location
2621 NE 134TH St Ste 300
Vancouver, WA 98686-3036
Mailing address
PO Box 4825
Portland, OR 97208-4825
Other practice location 1
1200 Pleasant St # P301A
Des Moines, IA 50309-1453
Phone (515) 241-8265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14415484 | Other | ASHA CERTIFICATE OF CLINICAL COMPETENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230926003435 | WA | Practitioner - Qualified Audiologist | 7012305220 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Vanderbilt University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Vancouver Clinic Inc PS
Practice addresses (Care Compare)
2621 NE 134TH St
Suite 300
Vancouver, WA 98686-3036
Phone (360) 882-2778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD61459782 | WA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Pharmacy | Past | Accepting new patients |
Locations
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
2621 NE 134th St
Ste 300
Vancouver, WA 98686
Phone (360) 718-2355
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 and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1619149960
-
- Eyewear Supplier
- Ridgefield, WA
- NPI 1760004477
-
- Pharmacist
- Vancouver, WA
- NPI 1336365857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1558036897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4825",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 NE 134TH ST STE 300",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986863036",
"telephone_number": "360-882-2778"
}
],
"practiceLocations": [
{
"address_1": "1200 Pleasant St # P301A",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503091453",
"country_code": "US",
"telephone_number": "515-241-8265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARCHER",
"first_name": "RACHEL",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IA",
"license": "110126",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD61459782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA CERTIFICATE OF CLINICAL COMPETENCE",
"identifier": "14415484",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.