RACHEL M MICKEVICH


Address: 1900 Randolph Rd, Suite 1010, Charlotte, NC 28207-1122
Phone: 7043347311

RACHEL M MICKEVICH (NPI# 1992949093) 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) 1992949093
Entity Type Individual
Full Name RACHEL M MICKEVICH
Credential ANP-BC
Practice Address 1900 Randolph Rd
Suite 1010
Charlotte
NC 28207-1122
Mailing Address 750 Cox Rd
Gastonia
NC 28054-3481
Practice Telephone 7043347311
Practice Fax Number 7043359790
Mailing Telephone 7048677212
Mailing Fax Number 7048677655
Enumeration Date 2009-04-21
Last Update Date 2010-11-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 5004356 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1900 RANDOLPH RD
SUITE 1010
City CHARLOTTE
State NC
Zip Code 28207-1122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881689362 Barbara Elizabeth Kissam Pediatrics 1900 Randolph Rd, Suite 1010, Charlotte, NC 28207-1122 2005-09-12
1144769332 Courtney Wiseman Physician Assistant 1900 Randolph Rd, Suite 800, Charlotte, NC 28207-1122 2017-02-21
1700339785 Yu Wei Shan Nurse Practitioner 1900 Randolph Rd, Suite 800, Charlotte, NC 28207-1122 2016-07-26
1891182127 Novant Medical Group,inc Pediatrics 1900 Randolph Rd, Suite 300, Charlotte, NC 28207-1122 2015-04-24
1578979936 Kristen Elizabeth Bush Physician Assistant 1900 Randolph Rd, Ste 900, Charlotte, NC 28207-1122 2014-07-07
1003235524 Novant Medical Group Inc Internal Medicine 1900 Randolph Rd, Suite 216, Charlotte, NC 28207-1122 2014-04-11
1508107863 Novant Medical Group Inc Internal Medicine 1900 Randolph Rd, Suite 300, Charlotte, NC 28207-1106 2013-03-12
1639422264 Anthony James Mignanelli II Nurse Practitioner 1900 Randolph Rd, Suite 900, Charlotte, NC 28207-1122 2012-10-19
1851642169 Meagan Marie Bullock Social Worker 1900 Randolph Rd, Suite 800, Charlotte, NC 28207-1122 2012-09-26
1114299294 Worley Shaun Lynch Physician Assistant 1900 Randolph Rd, Suite 900, Charlotte, NC 28207-1122 2012-02-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013560739 Louis Roncaglione Dentist 8815 Christenbury Pkway, Concord, NC 28207 2019-07-22
1619430014 Khrystyna Levytska Student in an Organized Health Care Education/Training Program Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 2019-04-11
1649743584 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 1005 South Kings Drive, Charlotte, NC 28207 2019-01-03
1023584489 Herron and Smith Associates, Pllc Dentist 135 Perrin Place, Suite 100, Charlotte, NC 28207 2018-10-23
1588161640 Lauren Mogk Student in an Organized Health Care Education/Training Program Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 2018-04-06
1518462241 Sarah Hollyn Carlock Student in an Organized Health Care Education/Training Program Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 2018-03-26
1083118178 Claire Milam Student in an Organized Health Care Education/Training Program Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 2018-03-22
1811422256 Complete Care At Dartmouth LLC Skilled Nursing Facility 300 Province Road, Charlotte, NC 28207 2017-04-24
1063945467 Kaitlyn O'keefe Internal Medicine 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 2017-04-04
1811432024 Advanced Prosthetics of Easley, Inc Durable Medical Equipment & Medical Supplies 2310 Randolph Rd Ste A, Charlotte, NC 28207 2016-12-23
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215544986 Tonya Lynn Burris Nurse Practitioner 7810 Providence Rd Ste 102, Charlotte, NC 28226-2987 2020-09-28
1003428293 Kashari Davis Nurse Practitioner 4252 Sutwick Dr, Charlotte, NC 28269-6001 2020-08-19
1457972796 Lindsey O'brien Nurse Practitioner 3423 Hornets Nest Way, Charlotte, NC 28208-5224 2020-04-28
1285254904 Barbara Ballard Nurse Practitioner 10731 Haddington Dr Nw, Charlotte, NC 28269-6954 2020-04-22
1710506787 Lindsey Delcasino Plair Nurse Practitioner 1212 South Blvd, Charlotte, NC 28203-4215 2020-04-10
1457991275 Advanced Physical Medicine Nurse Practitioner 8821 University East Dr # 120, Charlotte, NC 28213-4200 2020-01-09
1700447562 Milford Darnell George Jr. Nurse Practitioner 8403 University Executive Park Drive, Suite 685, Charlotte, NC 28262-3330 2019-06-24
1194288241 Tonya Denise Farmer Nurse Practitioner 620 Tom Hunter Road, Charlotte, NC 28213 2019-04-06
1649738204 Brittany Schmalfeld Nurse Practitioner 8943 S Tryon St Unit K, Charlotte, NC 28273-3539 2019-03-03
1407313703 Natalie Ann Bullock Nurse Practitioner 400 E Stonewall St Ste F, Charlotte, NC 28202-3601 2019-02-23
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Competitor

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City CHARLOTTE
Zip Code 28207

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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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