MRS. RACHEL ELIZABETH RIEDEL (NPI# 1780940064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780940064 |
| Entity Type | Individual |
| Full Name | MRS. RACHEL ELIZABETH RIEDEL |
| Credential | ANP-BC |
| Practice Address |
10000 Se Main St Ste 60 Portland OR 97216-2474 |
| Practice Telephone | 5032570959 |
| Practice Fax Number | 5032567757 |
| Mailing Telephone | 5032570959 |
| Mailing Fax Number | 5032567757 |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2005024512 | MO | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
201910562NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2012009251 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10000 SE MAIN ST STE 60 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023079332 | Angela Victoria Lewis | Physician Assistant | 10000 Se Main St Ste 60, Portland, OR 97216 | 2006-03-29 |
| 1164788808 | Erin Rose Boehm | Internal Medicine | 10000 Se Main St Ste 60, Portland, OR 97216 | 2012-04-06 |
| 1356636351 | Gail K. Jones | Internal Medicine | 10000 Se Main St Ste 60, Portland, OR 97216-2474 | 2011-06-17 |
| 1275763708 | Fareed Moses Segundo Collado | Internal Medicine | 10000 Se Main St Ste 60, Portland, OR 97216-2474 | 2009-07-17 |
| 1922274828 | Brian Scott Moyers | Internal Medicine | 10000 Se Main St Ste 60, Portland, OR 97216-2474 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1497309652 | Dorothy Elizabeth Zirkle | Nurse Practitioner | 66 Bramhall St Ste Gi, Portland, ME 04102-3344 | 2019-07-26 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1154694941 | Donald Upton | Nurse Practitioner | 6959 N Fenwick Ave, Portland, OR 97217-5305 | 2012-02-09 |
| 1497073936 | Jeffrey Grimm | Nurse Practitioner | 1741 Nw 24th Ave, Portland, OR 97210 | 2010-05-07 |
| 1548469869 | Ashlyn J Cross | Nurse Practitioner | Department of Dermatology 3303 Bond Ave., Portland, OR 97239-4501 | 2007-07-17 |
| 1326256959 | Mary Thompson Pierce | Nurse Practitioner | 1750 Nw Naito Parkway, Suite 100, Portland, OR 97209-2533 | 2007-05-18 |
| 1669595237 | Shannon Marie Gwartney | Nurse Practitioner | 808 Sw 15th Ave., Portland, OR 97205 | 2007-04-09 |
| Find all providers in PORTLAND | ||||
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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.