Active NPI
Rachel Dawn Roldan
- Attendant Care Provider
- Terrell, TX
National Provider Identifier
1598346884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 403 Lawrence Ave
Terrell, TX 75160-2429 - Phone
- (641) 751-0699
- NPI assigned
- Apr 19, 2021
- Last updated
- Apr 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | NU | Primary |
Addresses
Primary practice location
403 Lawrence Ave
Terrell, TX 75160-2429
Mailing address
403 Lawrence Ave
Terrell, TX 75160-2429
Phone (641) 751-0699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JMH00001922641 | Medicaid | TX |
Other names 1
- Rachel Dawn Fite
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | roldanr171@tvcc.edu | Direct |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1598346884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 LAWRENCE AVE",
"city": "TERRELL",
"state": "TX",
"postal_code": "751602429",
"telephone_number": "641-751-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 LAWRENCE AVE",
"city": "TERRELL",
"state": "TX",
"postal_code": "751602429",
"telephone_number": "641-751-0699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLDAN",
"first_name": "RACHEL",
"middle_name": "DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-19",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JMH00001922641",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "roldanr171@tvcc.edu",
"affiliation": "N",
"endpointDescription": "all information",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "403 Lawrence Ave",
"city": "Terrell",
"state": "TX",
"country_code": "US",
"postal_code": "751602429",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "FITE",
"middle_name": "DAWN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Terrell, TX
- Charles C Risinger, M.D.
- Joel Alumisin Rivera, M.D.
- Ansley Roan, SLP
- Kristina Nicole Robertson, LCSW, LCDC
- Kathryn M Robinson, LPC
- Irene Metto Rono, CPNP-PC
- Rosehaven Retirement Residences, Inc (Rosehave Retirement Inn)
- Inesia Dametric Runnels, LVN
- S & L Pharmacy Terrell Inc (Bass Rutledge Drug)
- Samantha Hope Joy Sandlin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.