Basic Information
Provider Information
NPI: 1730427741
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCCAULEY
FirstName: RACHEL
MiddleName: HARTSFIELD
NamePrefix: MRS.
NameSuffix:  
Credential: ANP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1718 PATTERSON ST
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372032926
CountryCode: US
TelephoneNumber: 6153271085
FaxNumber: 6153201948
Practice Location
Address1: 1800 MEDICAL CENTER PKWY
Address2:  
City: MURFREESBORO
State: TN
PostalCode: 371292567
CountryCode: US
TelephoneNumber: 6158953233
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/25/2013
LastUpdateDate: 09/27/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200X17185TNY193200000X MULTI-SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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