Active NPI
Rachelle A. Larsen, D.C.
- Chiropractor
- North Charleston, SC
National Provider Identifier
1942226451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3074
- Practice address
- 5401 Netherby Lane
Suite 201
North Charleston, SC 29420-7363 - Phone
- (843) 225-5362
- Fax
- (843) 225-5363
- NPI assigned
- Jul 15, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3074 | SC | Primary |
Addresses
Primary practice location
5401 Netherby Lane
Suite 201
North Charleston, SC 29420-7363
Mailing address
5401 Netherby Lane
Suite 201
North Charleston, SC 29420-7363
Phone (843) 225-5362
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3074 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1942226451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 NETHERBY LANE",
"address_2": "SUITE 201",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294207363",
"telephone_number": "843-225-5362",
"fax_number": "843-225-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 NETHERBY LANE",
"address_2": "SUITE 201",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294207363",
"telephone_number": "843-225-5362",
"fax_number": "843-225-5363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "RACHELLE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.