Rachel Victoria Treadwell, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN231452 Issued in GA

Practice address

2142 W Broad St
Athens, GA 30606

Phone

(706) 612-9401

Fax

(706) 612-9420

NPI assigned

Nov 8, 2017

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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1770096034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 W BROAD ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063506",
            "telephone_number": "706-612-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 W BROAD ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-612-9401",
            "fax_number": "706-612-9420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 E Spring St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "GA",
            "postal_code": "306552469",
            "country_code": "US",
            "telephone_number": "770-464-0280",
            "fax_number": "770-464-0233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREADWELL",
        "first_name": "RACHEL",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN231452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G04119A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003204113A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Traill, PT
• Daniel Boyd Trammell, BSPHR MBA
• Joanna Linh Tran
• Damou Traore
• Trapeze Therapy, LLC
• Brianna Nicole Treaster, CNM
• Trek Holdings Inc
• Yousef Treki
• Mary Elizabeth Trent, PSY.D.
• Evaline J Trevias

• Family Nurse Practitioner in Athens, GA
• Providers in Athens, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.