Rachael Clay Averette

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-168791 Issued in AL

Practice address

4280 Watermelon Rd Ste 112
Northport, AL 35473-5250

Phone

(205) 750-0030

NPI assigned

Apr 12, 2023

Last updated

Apr 12, 2023By 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 AL

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WV Medical Services PCGroup PAC ID 0840254975, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rachael.averette.p1@direct.crd.nextgenshare.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.

• WV Medical Services PC

  dba Clinic For Rheumatic Diseases

  • Rheumatology Physician
  • Northport, AL
  • NPI 1497739346
  Medicare reassignment Care Compare group NPD
• The Radiology Clinic LLC

  • Diagnostic Radiology Physician
  • Tuscaloosa, AL
  • NPI 1649235243
  NPD (past)

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

• The DCH Health Care Authority

  dba DCH Health & Wellness Clinic

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1306613211

  Hospital

  Care Compare affiliation
• The DCH Health Care Authority

  dba DCH Outpatient Services

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1780927681

  Hospital

  Care Compare affiliation
• The DCH Healthcare Authority

  dba DCH Regional Medical Center

  • General Acute Care Hospital
  • Tuscaloosa, AL
  • NPI 1841394418
  Care Compare affiliation

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1871289926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 WATERMELON RD STE 112",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735250",
            "telephone_number": "205-750-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 WATERMELON RD STE 112",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735250",
            "telephone_number": "205-750-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERETTE",
        "first_name": "RACHAEL",
        "middle_name": "CLAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-168791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aspire Physical Recovery Center of West Alabama, LLC
• At Home Independent Living Inc.
• Anthony Riley Austin, O.D.
• Authentic Being, LLC
• Logan Averett, PT
• Karra Porter Aymond, MPAS, P.A.-C
• Derek Layne Babin, OTR/L
• Babytalk Store LLC
• Back to Fitness
• Blake Baggett, D.C.

• Nurse Practitioner in Northport, AL
• Providers in Northport, AL by specialty
• Nurse Practitioner in Alabama

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