Rachel Ann McDermott, PTA

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

16-012191-1 Issued in IN

Practice address

513 Pine Lake Ave
La Porte, IN 46350-2316

Phone

(219) 326-1082

Fax

(219) 326-1413

NPI assigned

Nov 9, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Senior Haven Home Care

  • Home Health Agency
  • La Porte, IN
  • NPI 1114461464
  NPD (past) Authorized official
• Platinum Senior Care LLC

  • In Home Supportive Care Agency
  • La Porte, IN
  • NPI 1528650561
  NPD (past)

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1780126573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 PINE LAKE AVE",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463502316",
            "telephone_number": "219-326-1082",
            "fax_number": "219-326-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 PINE LAKE AVE",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463502316",
            "telephone_number": "219-326-1082",
            "fax_number": "219-326-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "IN",
            "license": "16-012191-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LPI",
            "identifier": "201364430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Martin, MSW
• Ruth Galang Mashak, PT
• Jordyn Matthews
• Lauren McClain
• Emily McClish
• McGuire Inspired
• Jessica McGuire
• Hayley Aileen McIntosh, LSW
• James C Meade, DPM
• Medspa Woman'S Helathcare, P.C.

• Personal Care Attendant in La Porte, IN
• Providers in La Porte, IN by specialty
• Personal Care Attendant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.