Rachelle Eyre

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1017259 Issued in TX

Practice address

2101 Box Butte Ave
Alliance, NE 69301-4445

Phone

(308) 762-6660

NPI assigned

Jul 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1609429307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882014",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804882014",
            "telephone_number": "970-903-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BOX BUTTE AVE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693014445",
            "telephone_number": "308-762-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYRE",
        "first_name": "RACHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1017259",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin J Ernesti-Yale
• Erica Rubee Escamilla-Pfeiffer
• Abigail Escamilla
• Shannon Kay Escamilla
• Emily Evans
• Richard Farr
• William Victor Fattig, M.D.
• Dana Folchert
• Bruce Dwayne Forney, MD
• Carlie Ray Foster

• Nurse Practitioner in Alliance, NE
• Providers in Alliance, NE by specialty
• Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.