Elizabeth Rattle, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-12271 Issued in NC

Practice address

7205 Stonehenge Dr
Raleigh, NC 27613-1649

Phone

(919) 848-2249

NPI assigned

Aug 21, 2012

Last updated

Jul 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabethrattle@hlthprk.allscriptsdirect.net
• Direct secure messaging: elizabethrattle@menrpg.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advance Community Health, Inc

  dba Advance Community Health

  • Federally Qualified Health Center (FQHC)
  • Raleigh, NC
  • NPI 1245223783
  Medicare reassignment NPD
• Advance Community Health, Inc

  dba Advance Community Health

  • Federally Qualified Health Center (FQHC)
  • Raleigh, NC
  • NPI 1871589762
  NPD
• Advance Community Health, Inc

  dba Advance Community Health

  • Federally Qualified Health Center (FQHC)
  • Apex, NC
  • NPI 1598751463
  NPD (past)
• Pleasant Pediatrics PLC

  • Pediatrics Physician
  • Peoria, AZ
  • NPI 1477742807
  NPD (past)
• Pleasant Pediatrics PLC

  dba Pleasant Pediatrics

  • Pediatrics Physician
  • Peoria, AZ
  • NPI 1790025591
  NPD (past)

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1700134806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 STONEHENGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131649",
            "telephone_number": "919-848-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 STONEHENGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131649",
            "telephone_number": "919-848-2249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9059 W Lake Pleasant Pkwy",
            "address_2": "STE E 540",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853828336",
            "country_code": "US",
            "telephone_number": "623-322-3380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATTLE",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-12271",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4550",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCING BOARD",
            "identifier": "4550",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING",
            "identifier": "0010-12271",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David James Rathvon, PA-C
• Ratia Revolution PLLC
• Jay M Ratia, LCSW
• Michael Shane Ratliff Jr.
• Mary Katherine Ratterree
• Amy Rauch, PSYD
• Meghan Sabba Hall Rauen, LPCA/NCC
• Julia Raughley
• Lauren Brooke Rauh
• Yolandi Prinsloo Rause, LCMHCA

• Medical Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.