Rachael Leigh Getzlaff, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

60352 Issued in ID

Practice address

12024 Lamey Bridge Rd
Diberville, MS 39540-8906

Phone

(228) 396-2858

NPI assigned

Dec 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mississippi CVS Pharmacy LLC

  dba CVS Pharmacy #17144

  • Pharmacy
  • Hattiesburg, MS
  • NPI 1760404453
  NPD (past)
• Mississippi CVS Pharmacy LLC

  dba CVS Pharmacy #00047

  • Pharmacy
  • D'Iberville, MS
  • NPI 1942562533
  NPD (past)

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

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609027200000",
    "number": "1720675671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3696 VICTOR LN",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395406500",
            "telephone_number": "714-334-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12024 LAMEY BRIDGE RD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395408906",
            "telephone_number": "228-396-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETZLAFF",
        "first_name": "RACHAEL",
        "middle_name": "LEIGH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-27",
        "last_updated": "2020-12-27",
        "certification_date": "2020-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "60352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cvs.com/store-locator/cvs-pharmacy-address/12024+Lamey+Bridge+Rd-Diberville-MS-39540/sto",
            "affiliation": "N",
            "endpointDescription": "CVS pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12024 Lamey Bridge Rd",
            "city": "Diberville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395408906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Qua'Shellea Fairley
• Tory Fayard
• Kathryn Fisher, RN, FNP-BC
• Jordyn Foster
• Angela Chong Gartman, RPH
• Magan Gilbert, FNP
• Ayanna Ettann Gill-Cooper
• Anne Weaver Gomila, MS, OTR/L
• Germaine Nickole Gottsche, DMD
• Scarlet Gould, DNP

• Registered Nurse in D'Iberville, MS
• Providers in D'Iberville, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2020; 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.