RACHAEL ERIN PRENDERGAST MSN RN PNP-AC NPI 1700393394

NPI Information

  • NPI: 1700393394
  • Provider Name: RACHAEL ERIN PRENDERGAST, MSN, RN, PNP-AC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 593 EDDY ST
    PROVIDENCE, RI
    ZIP 02903
  • Phone: (401) 444-7396

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NPI Details

Rachael Erin Prendergast, MSN, RN, PNP-AC is a pediatrics nurse practitioner in Providence, RI. Rachael Erin Prendergast, MSN, RN, PNP-AC NPI is 1700393394. 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:

593 EDDY ST
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 444-7396

The NPI 1700393394 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 1/4/2018 and was last updated on 8/7/2024.

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
1208000000XPediatricsSP018433PENNSYLVANIANo
2363LP0200XNurse PractitionerPediatricsRN2288750MASSACHUSETTSNo
3363LP0200XNurse PractitionerPediatricsAPRN04116RHODE ISLANDYes

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: 11/21/2025

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