Individual provider Active NPI

Rachel Day Beauchamp, NP-C

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1861025348
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012846 Issued in NC
Practice address
2010 Baldwin LN
Winston Salem, NC 27103-5846
Phone
(336) 277-1717
Fax
(336) 277-1718
NPI assigned
Feb 12, 2020
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012846 NC Primary

Addresses

Primary practice location

2010 Baldwin LN
Winston Salem, NC 27103-5846

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 277-1717

Other practice location 1

2010 Baldwin Ln
Winston Salem, NC 27103-5846
Phone (336) 277-1717

Other practice location 2

190 Kimel Park Dr Ste 140
Winston Salem, NC 27103-6946
Phone (336) 277-2225

Other practice location 3

2504 Patty Ln
Pfafftown, NC 27040-9447
Phone (336) 817-8432

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbeauchamp29805@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20200518002307 NC Practitioner - Nurse Practitioner 0749611259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

Practice addresses (Care Compare)

2010 Baldwin LN
Winston Salem, NC 27103-5846
Phone (336) 277-1718

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 16, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 16, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients

Locations

7210 Village Medical Cir
Ste 225
Clemmons, NC 27012
Phone (336) 245-2100

1730 Kernersville Medical Pkwy
Ste 303
Kernersville, NC 27284
Phone (336) 564-4430

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

140 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 245-2100

190 Kimel Park Dr
Ste 140
Winston Salem, NC 27103
Phone (336) 277-2225

2010 Baldwin Ln
Winston Salem, NC 27103
Phone (336) 277-1717

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1861025348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-277-1717",
            "fax_number": "336-277-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BALDWIN LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035846",
            "telephone_number": "336-277-1717",
            "fax_number": "336-277-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Baldwin Ln",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271035846",
            "country_code": "US",
            "telephone_number": "336-277-1717",
            "fax_number": "336-277-1718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Kimel Park Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271036946",
            "country_code": "US",
            "telephone_number": "336-277-2225",
            "fax_number": "336-277-2231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2504 Patty Ln",
            "address_purpose": "LOCATION",
            "city": "Pfafftown",
            "state": "NC",
            "postal_code": "270409447",
            "country_code": "US",
            "telephone_number": "336-817-8432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "RACHEL",
        "middle_name": "DAY",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbeauchamp29805@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2010 Baldwin Ln",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271035846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.