RACHELE N JEFFRIES (NPI# 1508145517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508145517 |
| Entity Type | Individual |
| Full Name | RACHELE N JEFFRIES |
| Credential | PA |
| Practice Address |
503 Roosevelt Blvd Eleanor WV 25070-0503 |
| Mailing Address |
97 Great Teays Blvd Ste 6 Scott Depot WV 25560-9816 |
| Practice Telephone | 3045860001 |
| Practice Fax Number | 3045861301 |
| Mailing Telephone | 3047576999 |
| Mailing Fax Number | 3042015019 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2235 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1508145517 | 05 | |
| WV | 3810020849 | 05 |
| Street Address |
503 ROOSEVELT BLVD |
| City | ELEANOR |
| State | WV |
| Zip Code | 25070-0503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487634275 | Linda L Kessinger | Family Medicine | 503 Roosevelt Blvd, Eleanor, WV 25070 | 2006-01-19 |
| 1619286796 | Stephanie Dawn Metz | Nurse Practitioner | 503 Roosevelt Blvd, Eleanor, WV 25070-1390 | 2010-10-06 |
| 1255660056 | Womencare, Inc | Clinic/Center | 503 Roosevelt Blvd, Eleanor, WV 25070-0000 | 2009-12-08 |
| 1013016849 | Curtis Brent Pack | Family Medicine | 503 Roosevelt Blvd, Eleanor, WV 25070 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689103780 | Amanda M Springer | Dentist | 198 Roosevelt Blvd, Po Box 579, Eleanor, WV 25070 | 2017-06-12 |
| 1790995595 | Amanda Rae Taylor | Pharmacist | 101-a Roosevelt Blvd, Eleanor, WV 25070 | 2007-05-23 |
| 1760699763 | Kevin Robert Parker | Pharmacist | 501 Roosevelt Boulevard, Eleanor, WV 25070 | 2007-05-17 |
| 1518972454 | Fruth Pharmacy Inc | Pharmacy | 501 Roosevelt Blvd, Eleanor, WV 25070 | 2006-07-29 |
| 1316928344 | Nancy Sue Elwood | Family Medicine | 503 Roosevelt Blvd., Eleanor, WV 25070 | 2005-11-08 |
| 1932558855 | Kayla Young | Pharmacy Technician | 501 Roosevelt Blvd, Eleanor, WV 25070 | 2016-06-10 |
| 1740638659 | Jessica Erin Torres | Pharmacist | 501 Roosevelt Blvd, Eleanor, WV 25070 | 2016-06-01 |
| 1619266822 | Amanda Dawn Priddy | Pharmacist | 101-a Roosevelt Blvd, Rite Aid Pharmacy #00141, Eleanor, WV 25070 | 2011-03-29 |
| 1538370986 | Jada Curry | Pharmacist | 501 Roosevelt Blvd, Eleanor, WV 25070 | 2007-05-25 |
| 1457783367 | Womencare, Inc | Clinic/Center | 300 Roosevelt Blvd, Eleanor, WV 25070-0000 | 2013-08-01 |
| Find all providers in zip 25070 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798321 | Trenton Ryan Johnson | Physician Assistant | 174 Country Ln, Kenna, WV 25248-7225 | 2020-10-26 |
| 1609475326 | Rebecca Whealen | Physician Assistant | 2026 Huber Rd, Charleston, WV 25314-2236 | 2020-10-23 |
| 1720686066 | Ana Brandt | Physician Assistant | 33 Medical Center Dr, Morgantown, WV 26505-4024 | 2020-10-09 |
| 1518564012 | Lauren Brianne Peyton | Physician Assistant | 5322 Indiana St Apt 4, South Charleston, WV 25309-1055 | 2020-10-07 |
| 1386251635 | Caitlin Estep | Physician Assistant | 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 | 2020-09-29 |
| 1336754639 | Brittany Marie Herber | Physician Assistant | 22 Solomons Ct, Hedgesville, WV 25427-3683 | 2020-09-14 |
| 1417568312 | Kelsea Martin | Physician Assistant | 6 Dogwood St, Philippi, WV 26416-1660 | 2020-08-13 |
| 1720617889 | Keri Bedillion | Physician Assistant | 527 Medical Park Dr Ste 306, Bridgeport, WV 26330-9010 | 2020-04-02 |
| 1912539628 | Abigail Renee Grant | Physician Assistant | 123 Main Ave, Nitro, WV 25143-1270 | 2020-02-11 |
| 1639719990 | Jessy Marie Hamrick | Physician Assistant | 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
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| 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.