Individual provider Active NPI

Rachel E Oehlke-Dendy

  • Legal Medicine
  • Greenwell Springs, LA
National Provider Identifier
1780904219
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
36054 Issued in LA
Practice address
16507 Paint Ave
Greenwell Springs, LA 70739-5822
Phone
(225) 964-1468
Fax
(225) 218-4975
NPI assigned
Jun 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 36054 LA Primary

Addresses

Primary practice location

16507 Paint Ave
Greenwell Springs, LA 70739-5822

Mailing address

16507 Paint Ave
Greenwell Springs, LA 70739-5822
Phone (225) 964-1468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36054LAMDLegal Medicine

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1780904219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16507 PAINT AVE",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707395822",
            "telephone_number": "225-964-1468",
            "fax_number": "225-218-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16507 PAINT AVE",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707395822",
            "telephone_number": "225-964-1468",
            "fax_number": "225-218-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OEHLKE-DENDY",
        "first_name": "RACHEL",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "LA",
            "license": "36054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwell Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.