Active NPI
Rachel Young Noel, R.N.
- Registered Nurse
- Oakland, CA
National Provider Identifier
1891003463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 734816
- Practice address
- 800 Mandana Blvd
Oakland, CA 94610-2429 - Phone
- (415) 272-8940
- NPI assigned
- Sep 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 734816 | CA | Primary |
| Pediatric Registered Nurse | 163WP0200X | 734816 | CA |
Addresses
Primary practice location
800 Mandana Blvd
Oakland, CA 94610-2429
Mailing address
6 Octavia St
San Rafael, CA 94901-4949
Phone (415) 272-8940
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 734816 | CA | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284595200000",
"number": "1891003463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 OCTAVIA ST",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949014949",
"telephone_number": "415-272-8940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MANDANA BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946102429",
"telephone_number": "415-272-8940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOEL",
"first_name": "RACHEL",
"middle_name": "YOUNG",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-16",
"last_updated": "2010-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "734816",
"primary": true
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "CA",
"license": "734816",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.