Individual provider Active NPI

Rachelle Danielle Stone, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1700169604
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106095 Issued in FL
Practice address
4098 Libra Dr
Orlando, FL 32816-8005
Phone
(407) 823-2097
Fax
(407) 823-2546
NPI assigned
Sep 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9106095 FL Primary

Addresses

Primary practice location

4098 Libra Dr
Orlando, FL 32816-8005

Mailing address

4098 Libra Dr
Orlando, FL 32816-3333
Phone (407) 823-2097

Other names 1

  • Mrs. Rachelle Danielle Gross Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160525000073 FL Order and Referring Only - Physician Assistant 5193014512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1700169604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4098 LIBRA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328163333",
            "telephone_number": "407-823-2097",
            "fax_number": "407-823-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4098 LIBRA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328168005",
            "telephone_number": "407-823-2097",
            "fax_number": "407-823-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "RACHELLE",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHELLE",
            "last_name": "GROSS",
            "middle_name": "DANIELLE",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.