Individual provider Active NPI

Rachel N Woolley, APRN-CNP

  • Family Nurse Practitioner
  • Liberty Hill, TX
National Provider Identifier
1972133965
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1020142 Issued in TX
Practice address
14365 Hwy 29 Suite 10
Liberty Hill, TX 78642
Phone
(512) 778-5160
Fax
(512) 778-5972
NPI assigned
Jan 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 840798 TX
Family Nurse Practitioner 363LF0000X 1020142 TX Primary

Addresses

Primary practice location

14365 Hwy 29 Suite 10
Liberty Hill, TX 78642

Mailing address

14365 Hwy 29
Suite 10
Liberty Hill, TX 78642
Phone (512) 778-5160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20210105000994 TX Practitioner - Nurse Practitioner 3971916230 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
840798TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group CurrentSince Jan 4, 2020 Accepting new patients
Timberland Medical Group Family CurrentSince Jan 4, 2020 Accepting new patients

Locations

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

14365 W State Highway 29
Ste 10
Liberty Hill, TX 78642
Phone (512) 778-5160

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1579392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1972133965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14365 HWY 29",
            "address_2": "SUITE 10",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "78642",
            "telephone_number": "512-778-5160",
            "fax_number": "512-778-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14365 HWY 29 SUITE 10",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "78642",
            "telephone_number": "512-778-5160",
            "fax_number": "512-778-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLEY",
        "first_name": "RACHEL",
        "middle_name": "N",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-19",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "840798",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Hill, TX

Sources for this page

Verify at the official NPI Registry.