MRS. RACHEL MAURINE CAUDLE


Address: 1504 Kern Rd, Washington, IL 61571-2318
Phone: 3095738976

MRS. RACHEL MAURINE CAUDLE (NPI# 1649877416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649877416
Entity Type Individual
Full Name MRS. RACHEL MAURINE CAUDLE
Credential NP
Practice Address 1504 Kern Rd
Washington
IL 61571-2318
Practice Telephone 3095738976
Enumeration Date 2020-10-05
Last Update Date 2020-10-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209022114 IL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
221 Ne Glen Oak Ave, Peoria, IL 616360001 3095738976

Office Location

Street Address 1504 KERN RD
City WASHINGTON
State IL
Zip Code 61571-2318

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1871878371 M Lisa Kim Pharmacist 1700 Saddleridge Ct, Washington, IL 61571 2011-10-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1952915746 Alexandra Renee Leeper Nurse Practitioner 363 Maple Ave, Washington, PA 15301-1907 2020-08-31
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1174136345 Sarah King Nurse Practitioner 314 Carroll St Nw Apt 202, Washington, DC 20012-2026 2020-08-27
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Competitor

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City WASHINGTON
Zip Code 61571

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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