Rachael Betros, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11013998 Issued in FL

Practice address

6704 E Mount Vernon St
Glen St Mary, FL 32040-5050

Phone

(904) 259-7420

NPI assigned

Sep 7, 2021

Last updated

Sep 7, 2021By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andres R Villar MD

  dba Children's Medical Center

  • Pediatrics Physician
  • Glen St Mary, FL
  • NPI 1689768772
  NPD (past)
• Andres R Villar MD

  dba Children's Medical Center

  • Pediatrics Physician
  • Macclenny, FL
  • NPI 1841384948
  NPD (past)

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1790454544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 N 4TH ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632112",
            "telephone_number": "904-238-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 E MOUNT VERNON ST",
            "city": "GLEN ST MARY",
            "state": "FL",
            "postal_code": "320405050",
            "telephone_number": "904-259-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETROS",
        "first_name": "RACHAEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Access Medical Transportation, LLC
• Andres R Villar MD (Children's Medical Center)
• Andres R. Villar MD (Children's Medical Center)
• Axios Development & Investments, LLC (Axios Counseling & Forensic Evaluations)
• Brittany Barton
• Lonnollies, LLC
• Courtney Shae Owens

• Family Nurse Practitioner in Glen St Mary, FL
• Providers in Glen St Mary, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.