Rae Marie Jacqueline Venarucci, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC005025L Issued in PA

Practice address

74 Welwood Ave Ste 101
Hawley, PA 18428-1577

Phone

(570) 226-4119

NPI assigned

Nov 1, 2006

Last updated

Feb 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Total Body Chiropractic PCGroup PAC ID 2163310681, 3 clinicians

Pocono Functional Rehabilitation, PLLCGroup PAC ID 5294165130, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pocono Functional Rehabilitation, PLLC

  • Chiropractor
  • Hawley, PA
  • NPI 1811521115
  Medicare reassignment Care Compare group NPD Authorized official
• Total Body Chiropractic PC

  • Chiropractor
  • Taylor, PA
  • NPI 1487767943
  Medicare reassignment Care Compare group NPD
• Pinnacle Rehabilitation Associates PC

  • Physical Therapist
  • Kingston, PA
  • NPI 1134167729
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1861579096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 WELWOOD AVE STE 101",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184281577",
            "telephone_number": "570-226-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 WELWOOD AVE STE 101",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184281577",
            "telephone_number": "570-226-4119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 N Main St",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "PA",
            "postal_code": "185171415",
            "country_code": "US",
            "telephone_number": "570-562-7770",
            "fax_number": "570-562-7775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "313 S Main St",
            "address_purpose": "LOCATION",
            "city": "Old Forge",
            "state": "PA",
            "postal_code": "185181606",
            "country_code": "US",
            "telephone_number": "570-451-1122",
            "fax_number": "570-451-0541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENARUCCI",
        "first_name": "RAE MARIE",
        "middle_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005025L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Hawley, PA
• Providers in Hawley, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.