RACHEL GROVE NPI 1508210519

NPI Information

NPI: 1508210519
Provider Name: RACHEL GROVE
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

PECOS Registration: Yes

Address:
325 N STATE OF FRANKLIN RD
GROUND FL
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 439-7320
Get Directions

Rachel Grove is a neonatal-perinatal medicine pediatrics in Johnson City, TN with 8 years of experience. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. Rachel Grove NPI is 1508210519. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

325 N STATE OF FRANKLIN RD
GROUND FL
JOHNSON CITY, TN
ZIP 37604-056
Phone: (423) 439-7320
Fax: (423) 439-7343

The NPI 1508210519 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 4/15/2016 and was last updated on 1/17/2024.

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
1	208000000X	Pediatrics		2019-01068	NORTH CAROLINA	No
2	208000000X	Pediatrics		65616	TENNESSEE	No
3	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	2019-01068	NORTH CAROLINA	No
4	390200000X	Student in an Organized Health Care Education/Training Program				No
5	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	65616	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q043006	MEDICAID	TENNESSEE

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: 5/5/2024

NPI Synchronization or Removal

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