Active NPI
Rachel Jabr
- Driver
- Golconda, IL
National Provider Identifier
1821548355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- J16072565644
- Practice address
- 115 E Pope St
Apt 6
Golconda, IL 62938-1057 - Phone
- (618) 924-3093
- NPI assigned
- Oct 7, 2016
- Last updated
- Oct 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | J16072565644 | IL | Primary |
Addresses
Primary practice location
115 E Pope St
Apt 6
Golconda, IL 62938-1057
Mailing address
115 E Pope St
Apt 6
Golconda, IL 62938-1057
Phone (618) 924-3093
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
| License | State | Type | Specialty |
|---|---|---|---|
| J16072565644 | IL | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1821548355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E POPE ST",
"address_2": "APT 6",
"city": "GOLCONDA",
"state": "IL",
"postal_code": "629381057",
"telephone_number": "618-924-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E POPE ST",
"address_2": "APT 6",
"city": "GOLCONDA",
"state": "IL",
"postal_code": "629381057",
"telephone_number": "618-924-3093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABR",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-07",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "IL",
"license": "J16072565644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golconda, IL
- Community Health & Emergency Services, Inc. (Pope County Clinic)
- W Christine Davis, NP
- Family Counseling Center Inc
- Family Counseling Center Inc
- Hardin County Pharmacy LLC
- Jane James, MS, QMHP
- Joyner Therapy Services
- Pope County Care Home Inc
- Pope County Care Home Inc (Pope County Care Center Inc)
- Pope County Cusd #1
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.