Organization Active NPI

Rachel a. Winters M.D.

  • Family Medicine Physician
  • Lawrenceville, IL
National Provider Identifier
1720529001
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036091318 Issued in IL
Legal business name
RACHEL A. WINTERS M.D.
Practice address
2111 Lexington Ave
Suite 3
Lawrenceville, IL 62439-2085
Phone
(618) 943-6202
NPI assigned
Mar 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Dr. Rachel Ann Winters, M.D.NPI 1902884273
Title
Sole Proprietor
Phone
(618) 943-6202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036091318 IL Primary

Addresses

Primary practice location

2111 Lexington Ave
Suite 3
Lawrenceville, IL 62439-2085

Mailing address

2111 Lexington Ave
Suite 3
Lawrenceville, IL 62439-2085
Phone (618) 943-6202

Other identifiers 1

IdentifierTypeStateIssuer
538822373MedicaidIL

National Provider Directory

National Provider Directory

Locations

2111 Lexington Ave
Ste 3
Lawrenceville, IL 62439
Phone (618) 943-6202

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1720529001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 LEXINGTON AVE",
            "address_2": "SUITE 3",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392085",
            "telephone_number": "618-943-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 LEXINGTON AVE",
            "address_2": "SUITE 3",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392085",
            "telephone_number": "618-943-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL A. WINTERS M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "618-943-6202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036091318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "538822373",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.