Individual provider Active NPI

Rachael Teal Smith, EMT-P

  • Paramedic
  • Libertyville, IL
National Provider Identifier
1649546599
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
060086832 Issued in IL
Practice address
28495 N Oak LN
Libertyville, IL 60048-9411
Phone
(847) 254-6472
NPI assigned
Mar 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 060086832 IL Primary

Addresses

Primary practice location

28495 N Oak LN
Libertyville, IL 60048-9411

Mailing address

PO Box 356
Mundelein, IL 60060-0356
Phone (847) 254-6472

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
Emergency Medical Technician - Paramedic

State licenses

LicenseStateTypeSpecialty
060086832ILMDParamedic

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1649546599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600600356",
            "telephone_number": "847-254-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28495 N OAK LN",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489411",
            "telephone_number": "847-254-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RACHAEL",
        "middle_name": "TEAL",
        "name_prefix": "Mrs.",
        "credential": "EMT-P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "IL",
            "license": "060086832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.