RACHAEL MENIUS BURGESS MSN CPNP-AC CPON NPI 1174963136

NPI Information

NPI: 1174963136
Provider Name: RACHAEL MENIUS BURGESS, MSN, CPNP-AC, CPON
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
22 BRAMHALL ST
PORTLAND, ME
ZIP 04102
Phone: (207) 662-3500
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Rachael Menius Burgess, MSN, CPNP-AC, CPON is a pediatrics nurse practitioner in Portland, ME. Rachael Menius Burgess, MSN, CPNP-AC, CPON NPI is 1174963136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22 BRAMHALL ST
PORTLAND, ME
ZIP 04102-134
Phone: (207) 662-3500

The NPI 1174963136 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/4/2013 and was last updated on 8/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN632009	PENNSYLVANIA	No
2	163W00000X	Registered Nurse		RN2281692	MASSACHUSETTS	No
3	363LP0200X	Nurse Practitioner	Pediatrics	RN2281692	MASSACHUSETTS	No
4	363LP0200X	Nurse Practitioner	Pediatrics	CNP191176	MAINE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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