Rachel Deisem, RN/BSN

Primary specialty

Inpatient Obstetric Registered NurseTaxonomy code 163WX0003X

License

235407 Issued in NC

Practice address

10447 Georgetown Rd
Berlin, MD 21811-3158

Phone

(973) 452-2711

NPI assigned

Aug 4, 2015

Last updated

Aug 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1558747303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10447 GEORGETOWN RD",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10447 GEORGETOWN RD",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113158",
            "telephone_number": "973-452-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEISEM",
        "first_name": "RACHEL",
        "credential": "RN/BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "NC",
            "license": "235407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Inpatient Obstetric Registered Nurse in Berlin, MD
• Providers in Berlin, MD by specialty
• Inpatient Obstetric Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.