Individual provider Active NPI

Rachel Diane Irwin, FNP

  • Family Nurse Practitioner
  • Kokomo, IN
National Provider Identifier
1700553542
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011495A Issued in IN
Practice address
2330 S Dixon Rd
Kokomo, IN 46902-6411
Phone
(765) 455-5400
Fax
(765) 865-3710
NPI assigned
Aug 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71011495A IN Primary

Addresses

Primary practice location

2330 S Dixon Rd
Kokomo, IN 46902-6411

Mailing address

2330 S Dixon Rd
Kokomo, IN 46902-6411
Phone (765) 455-5400

Other practice location 1

833 Park East Blvd
Lafayette, IN 47905-0785
Phone (765) 743-4400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rachel.irwinfnp.p7@direct.ahni.nextgenshare.com

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
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: rachel.irwin.2@7598.direct.athenahealth.com
  • Direct secure messaging: rachel.irwin.1@7598.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1700553542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 S DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026411",
            "telephone_number": "765-455-5400",
            "fax_number": "765-865-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 S DIXON RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026411",
            "telephone_number": "765-455-5400",
            "fax_number": "765-865-3710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Park East Blvd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479050785",
            "country_code": "US",
            "telephone_number": "765-743-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "RACHEL",
        "middle_name": "DIANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011495A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachel.irwinfnp.p7@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2330 S Dixon Rd",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469026411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.