Individual provider Active NPI

Rachel Tartaglia, C.P.N.P.

  • Pediatric Nurse Practitioner
  • East Longmeadow, MA
National Provider Identifier
1609841808
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
202492 Issued in MA
Practice address
294 N Main St
Suite 101
East Longmeadow, MA 01028-1838
Phone
(413) 525-1870
Fax
(413) 525-3883
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 202492 MA Primary

Addresses

Primary practice location

294 N Main St
Suite 101
East Longmeadow, MA 01028-1838

Mailing address

294 N Main St
Suite 101
East Longmeadow, MA 01028-1838
Phone (413) 525-1870

Other identifiers 1

IdentifierTypeStateIssuer
9732314MedicaidMA

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
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
202492MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Services of Springfield, Inc. PastSince Apr 13, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/374254e6-8a71-4f61-90b5-064a630a4cd8/

Organizations & group practices 1

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1609841808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 N MAIN ST",
            "address_2": "SUITE 101",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281838",
            "telephone_number": "413-525-1870",
            "fax_number": "413-525-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 N MAIN ST",
            "address_2": "SUITE 101",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281838",
            "telephone_number": "413-525-1870",
            "fax_number": "413-525-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTAGLIA",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "202492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9732314",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.