Rachael Denise Belford

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11013561 Issued in FL

Practice address

200 Sands Parc Blvd Apt 102
Daytona Beach, FL 32117-0038

Phone

(618) 841-2919

NPI assigned

Jun 30, 2021

Last updated

Oct 25, 2021By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1720658800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CLYDE MORRIS BLVD",
            "address_2": "STE 220",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748187",
            "telephone_number": "618-841-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SANDS PARC BLVD APT 102",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321170038",
            "telephone_number": "618-841-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELFORD",
        "first_name": "RACHAEL",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11013561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD",
            "identifier": "F05210911",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE REGISTERED NURSE",
            "identifier": "11013561",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Behavioral Excellence and Skill Training
• Behavioral Health Services of Florida LLC
• Victoria Bejarano, DMD
• Burak Bekcan, OTR/L, MOT, PT, DPT
• Donna J Belcher II, O.D.
• Gayle Belin
• Ellen Bell, COTA/L
• Sakinah Lamis Bell
• Shaniqua Bell
• Tayah Lynnae Bell, DC

• Nurse Practitioner in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.