Rachel Elizabeth Wilke, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NJ14993800 Issued in NJ

Practice address

828 Haddonfield Rd
Cherry Hill, NJ 08002-2604

Phone

(856) 663-5437

NPI assigned

Apr 12, 2024

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

Other names 1

• Rachel Elizabeth Dibuonaventura Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• PM Pediatrics of Livingston, PLLC

  • Urgent Care Clinic/Center
  • Livingston, NJ
  • NPI 1639430515
  NPD (past)

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1972357457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E LINDEN AVE",
            "city": "HADDON TWP",
            "state": "NJ",
            "postal_code": "081081836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 HADDONFIELD RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022604",
            "telephone_number": "856-663-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Rt 42",
            "address_2": "Cross Keys Commons",
            "address_purpose": "LOCATION",
            "city": "Turnersville",
            "state": "NJ",
            "postal_code": "080121752",
            "country_code": "US",
            "telephone_number": "856-795-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKE",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ14993800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "DIBUONAVENTURA",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan S. Wickware, P.T.
• Kathleen Widmer
• Jamie L Wigton, PT
• Laurie T Wikoff, PT
• Brent Wilder
• Ashley Willis Willard
• Scott David Willard, M.D.
• Rene' M Willems, MSPT
• William E. Johnston, MDPC
• Andrea J Williams, OTR/L

• Pediatric Nurse Practitioner in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.