Active NPI
Raechelle Lynn Kempfer, NP
- Family Nurse Practitioner
- Towson, MD
National Provider Identifier
1871550004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2012004957
- Practice address
- 901 Dulaney Valley Road Suite 110
Towson, MD 21204-1867 - Phone
- (410) 296-3104
- NPI assigned
- May 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 041313205 | IL | |
| Family Nurse Practitioner | 363LF0000X | 2012004957 | MO | Primary |
Addresses
Primary practice location
901 Dulaney Valley Road Suite 110
Towson, MD 21204-1867
Mailing address
901 Dulaney Valley Rd
Suite
Towson, MD 21204-2600
Phone (410) 296-3104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K39789 | Other | IL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors on the Go LLC | Past | Accepting new patients | |
| DRS Pichet & Meechai | Past | Accepting new patients | |
| Red Bud Clinic Corp | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Olivette, MO
- NPI 1134532419
-
- Internal Medicine Physician
- Red Bud, IL
- NPI 1417058777
-
- Family Medicine Physician
- Red Bud, IL
- NPI 1083617609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464134400000",
"number": "1871550004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 DULANEY VALLEY RD",
"address_2": "SUITE",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042600",
"telephone_number": "410-296-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 DULANEY VALLEY ROAD SUITE 110",
"city": "TOWSON",
"state": "MD",
"postal_code": "212041867",
"telephone_number": "410-296-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMPFER",
"first_name": "RAECHELLE",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2016-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "041313205",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2012004957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "K39789",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.