Roberta J Rakowski, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

13225 Issued in TN

Practice address

605 Glenwood Dr Ste 300
Chattanooga, TN 37404-1144

Phone

(423) 495-2620

Fax

(423) 495-2625

NPI assigned

May 14, 2008

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 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rrakowski132087@direct.stlukeshealth.org
• Direct secure messaging: robertarakowski@tnmhpf.allscriptsdirect.net

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.

• Memorial Health Partners Foundation, Inc

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1922053545
  Medicare reassignment NPD
• Memorial Health Partners Foundation Inc

  • Rural Health Clinic/Center
  • Trenton, GA
  • NPI 1467602482
  NPD
• Memorial Health Partners Foundation Inc

  • Rural Health Clinic/Center
  • La Fayette, GA
  • NPI 1760632780
  NPD
• University Surgical Associates, PLLC

  • Surgery Physician
  • Chattanooga, TN
  • NPI 1972520963
  NPD (past)

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1831366293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 GLENWOOD DR STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041144",
            "telephone_number": "423-495-2690",
            "fax_number": "423-495-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GLENWOOD DR STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041144",
            "telephone_number": "423-495-2620",
            "fax_number": "423-495-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOWSKI",
        "first_name": "ROBERTA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "13225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "13225",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Raines, M.S.
• Amy Rains, NP-C
• Anjali Raj, MD
• Anjum Raqib Raja, PHARMD
• Tabitha Stokes Rajasaari
• Ericka Ralph
• Eric Ralston, LPC-MHSP, NCC
• Maria Elena Ramantanin, DVM
• Ann M. Ramey, M.S.
• Carmen Ramey

• Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.