Individual provider Active NPI

Racheal Faye Rush, MCD CCCA

  • Audiologist
  • Portsmouth, NH
National Provider Identifier
1558346486
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A838 Issued in NH
Practice address
330 Borthwick Ave Ste 209
Portsmouth, NH 03801-7111
Phone
(603) 436-8668
Fax
(860) 436-4499
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 741 MA
Audiologist 231H00000X A838 NH Primary

Addresses

Primary practice location

330 Borthwick Ave Ste 209
Portsmouth, NH 03801-7111

Mailing address

330 Borthwick Ave Ste 209
Portsmouth, NH 03801-7111
Phone (603) 436-8668

Other practice location 1

62 Portsmouth Ave
Stratham, NH 03885-2559
Phone (603) 778-7620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080807000349 MA Practitioner - Qualified Audiologist 3577637651
I20231207004088 NH Practitioner - Qualified Audiologist 3577637651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Audiology PCGroup PAC ID 1557689353, 3 clinicians

Practice addresses (Care Compare)

62 Portsmouth Ave
Stratham, NH 03885-2559
Phone (603) 778-7620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A838NHMDAudiologist
741MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Audiology PC Audiologist CurrentSince Nov 7, 2023 Accepting new patients
Cambridge Family Health North PastSince Mar 22, 2004 Accepting new patients

Locations

330 Borthwick Ave
Ste 209
Portsmouth, NH 03801
Phone (603) 436-8668

62 Portsmouth Ave
Stratham, NH 03885
Phone (603) 778-1440

62 Portsmouth Ave
Ste 10
Stratham, NH 03885

Organizations & group practices 2

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1558346486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE STE 209",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017111",
            "telephone_number": "603-436-8668",
            "fax_number": "603-436-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE STE 209",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017111",
            "telephone_number": "603-436-8668",
            "fax_number": "860-436-4499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 Portsmouth Ave",
            "address_purpose": "LOCATION",
            "city": "Stratham",
            "state": "NH",
            "postal_code": "038852559",
            "country_code": "US",
            "telephone_number": "603-778-7620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSH",
        "first_name": "RACHEAL",
        "middle_name": "FAYE",
        "credential": "MCD CCCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "741",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NH",
            "license": "A838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.