Individual provider Active NPI

Rachel Erin Piacsek, APRN

  • Nurse Practitioner
  • Richmond, KY
National Provider Identifier
1588187470
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
301099 Issued in KY
Practice address
789 Eastern Byp Ste 16
Richmond, KY 40475-2400
Phone
(859) 624-6501
Fax
(859) 624-6509
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 301099 KY Primary

Addresses

Primary practice location

789 Eastern Byp Ste 16
Richmond, KY 40475-2400

Mailing address

5200 Commerce Crossings Dr FL 3
Louisville, KY 40229-2182
Phone (502) 489-6614

Other practice location 1

2201 Regency Rd Ste 501
Lexington, KY 40503-2340
Phone (859) 523-7398

Other practice location 2

2201 Regency Rd Ste 701
Lexington, KY 40503-2343
Phone (859) 523-7398

Other identifiers 1

IdentifierTypeStateIssuer
301099OtherKYKY LICENSURE

Other names 1

  • Rachel Erin Krogman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
301099KYMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1588187470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 COMMERCE CROSSINGS DR FL 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292182",
            "telephone_number": "502-489-6614",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 EASTERN BYP STE 16",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752400",
            "telephone_number": "859-624-6501",
            "fax_number": "859-624-6509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Regency Rd Ste 501",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405032340",
            "country_code": "US",
            "telephone_number": "859-523-7398",
            "fax_number": "859-687-9648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Regency Rd Ste 701",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405032343",
            "country_code": "US",
            "telephone_number": "859-523-7398",
            "fax_number": "859-687-9648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIACSEK",
        "first_name": "RACHEL",
        "middle_name": "ERIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "301099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSURE",
            "identifier": "301099",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "KROGMAN",
            "middle_name": "ERIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.