Active NPI
Rachel Louise Embry, PA-C
- Physician Assistant
- Brandon, FL
National Provider Identifier
1760518906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9104102
- Practice address
- 414 W Robertson St
Brandon, FL 33511-5010 - Phone
- (813) 684-5255
- NPI assigned
- Feb 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9104102 | FL | Primary |
Addresses
Primary practice location
414 W Robertson St
Brandon, FL 33511-5010
Mailing address
1805 Princeton Lakes Dr
Apt.# 210
Brandon, FL 33511-2228
Phone (615) 554-6770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10970 Cross Creek Blvd
Suite D
Tampa, FL 33647-4056
Phone (813) 369-5969
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9104102 | FL | MD | Physician Assistant |
Networks
- Optimum HealthCare HMO Network
Organizations & group practices 5
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.
-
dba BeeperMD
- Family Medicine Physician
- Boca Raton, FL
- NPI 1043026099
-
dba Signature Urgent Care
- Urgent Care Clinic/Center
- St Petersburg, FL
- NPI 1427466564
-
- Emergency Medicine Physician
- Clearwater, FL
- NPI 1861675654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760518906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 PRINCETON LAKES DR",
"address_2": "APT.# 210",
"city": "BRANDON",
"state": "FL",
"postal_code": "335112228",
"telephone_number": "615-554-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 W ROBERTSON ST",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115010",
"telephone_number": "813-684-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMBRY",
"first_name": "RACHEL",
"middle_name": "LOUISE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9104102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.