Active NPI
Rachel Difelice, PA-C
- Surgical Physician Assistant
- Delray Beach, FL
National Provider Identifier
1700343720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA2108
- Practice address
- 1010 S Federal Hwy Ste 1010
Delray Beach, FL 33483-5132 - Phone
- (561) 413-9511
- NPI assigned
- Feb 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA2108 | NV | Primary |
Addresses
Primary practice location
1010 S Federal Hwy Ste 1010
Delray Beach, FL 33483-5132
Mailing address
1010 S Federal Hwy Ste 1010
Delray Beach, FL 33483-5132
Phone (561) 413-9511
Other practice location 1
9990 Double R Blvd Ste 200
Reno, NV 89521-4833
Phone (775) 348-8800
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2108 | NV | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James J Lynch MD LTD | Past | Accepting new patients |
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.
-
- Specialist
- Reno, NV
- NPI 1285649608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1700343720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 S FEDERAL HWY STE 1010",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835132",
"telephone_number": "561-413-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S FEDERAL HWY STE 1010",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835132",
"telephone_number": "561-413-9511"
}
],
"practiceLocations": [
{
"address_1": "9990 Double R Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895214833",
"country_code": "US",
"telephone_number": "775-348-8800",
"fax_number": "775-348-8818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIFELICE",
"first_name": "RACHEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NV",
"license": "PA2108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.