Rachael Nathan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

295021 Issued in AZ

Practice address

3201 W Peoria Ave Ste A105
Phoenix, AZ 85029-4609

Phone

(602) 918-3225

Fax

(833) 992-2059

NPI assigned

Aug 8, 2023

Last updated

Apr 24, 2024By 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

Enrolled in AZ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

TL Family Nurse Practice LLCGroup PAC ID 4880013846, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10368/brand/1/csg/1/fhir/r4
• Direct secure messaging: rachael.nathan.1@21538.direct.athenahealth.com

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.

• TL Family Nurse Practice LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1659998292
  Medicare reassignment Care Compare group NPD
• Trident Clinical PLLC

  dba Trident Health Center

  • Primary Care Clinic/Center
  • Peoria, AZ
  • NPI 1902204191
  NPD (past)

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1871276717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE",
            "address_2": "SUITE A105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "602-918-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE A105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294609",
            "telephone_number": "602-918-3225",
            "fax_number": "833-992-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "RACHAEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "295021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adeya Patrice Natale
• Natalie Fogelson PLLC (Center for Oncological Rehabilitation and Lymphedema)
• Natalie Fogelson PLLC (Coral)
• Polina Natanelova
• Mira Beth Nathan, AUD
• Rohit B Nathan, D.O.
• Stephen Perry Nathan, MD
• Nation Wide Medical Supply, Inc
• Neal Jared Nation, D.D.S.
• National Birth Centers, Inc.

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.
• 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.