Individual provider Active NPI

Rachel Ann Childers, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Flower Mound, TX
National Provider Identifier
1730750209
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1046799 Issued in TX
Practice address
4491 Long Prairie Rd Ste 600
Flower Mound, TX 75028-1795
Phone
(469) 444-2244
NPI assigned
Jul 6, 2021
Last updated
Jul 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1046799 TX Primary

Addresses

Primary practice location

4491 Long Prairie Rd Ste 600
Flower Mound, TX 75028-1795

Mailing address

4491 Long Prairie Rd Ste 600
Flower Mound, TX 75028-1795
Phone (469) 444-2244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210819002222 TX Practitioner - Nurse Practitioner 1153726740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Pointe Psychiatry, PAGroup PAC ID 6305997909, 18 clinicians

Practice addresses (Care Compare)

4491 Long Prairie Rd
Suite 600
Flower Mound, TX 75028-1795
Phone (469) 444-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1046799TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Pointe Psychiatry, PA CurrentSince Aug 1, 2021 Accepting new patients
Eudemonia Psychiatry Psychiatric/Mental Health PastSince Jul 17, 2021 Accepting new patients

Locations

4212 N Interstate 35
Denton, TX 76207
Phone 4694442244 ext. 2

860 Hebron Pkwy
Ste 1101
Lewisville, TX 75057
Phone (469) 444-2244

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1730750209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4491 LONG PRAIRIE RD STE 600",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281795",
            "telephone_number": "469-444-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4491 LONG PRAIRIE RD STE 600",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281795",
            "telephone_number": "469-444-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1046799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.