Active NPI
Rachel Herold Priem, MD
- Pediatrics Physician
- Ridgefield, CT
National Provider Identifier
1629568969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 68920
- Practice address
- 10 South St Ste 206
Ridgefield, CT 06877-4125 - Phone
- (203) 431-3363
- NPI assigned
- May 11, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 68920 | CT | Primary |
Addresses
Primary practice location
10 South St Ste 206
Ridgefield, CT 06877-4125
Mailing address
10 South St Ste 206
Ridgefield, CT 06877-4125
Phone (203) 431-3363
Other names 1
- Dr. Rachel Anne Herold
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68920 | CT | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1629568969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SOUTH ST STE 206",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774125",
"telephone_number": "203-431-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SOUTH ST STE 206",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774125",
"telephone_number": "203-431-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIEM",
"first_name": "RACHEL",
"middle_name": "HEROLD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-11",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "68920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "HEROLD",
"middle_name": "ANNE",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ridgefield, CT
- Susan Polese, L.PC., N.C.C.
- Richard W. Pooley, M.D.
- Premise Health of Connecticut Medical, P.C.
- Jennifer Jean Prestegaard Philbin, JENNIFER PHILBIN
- Marisa Faye Prezioso, LPC-A
- Professional Dental Alliance of Ridgefield, PLLC
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy, P.C.
- Professional Therapy Contracting Services of CT, LLC
- Robin Prokopczyk, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.