Active NPIIndividual provider

Meredith Rappaport, PA-C, LCSW

Physician Assistant in Durham, North Carolina

NPI Number1205160801
Practice location
5501 Fortunes Ridge Dr Ste P, Durham, NC 27713-6102
Fax
919-391-7203
Last updated
November 3, 2023

Meredith Rappaport is a Physician Assistant based in Durham, NC. Meredith Rappaport practices in Durham, NC and has the professional credentials of PA-C, LCSW. The NPI Number for Meredith Rappaport is 1205160801 and holds a License No. LSW5010 (TN). The current practice location address for Meredith Rappaport is 5501 Fortunes Ridge Dr Ste P, Durham, NC 27713-6102 and can be reached out via phone at 919-319-7202 and via fax at 919-391-7203.

Provider Profile Details

NPI Number
1205160801
Provider Name
Meredith Rappaport
Credential
PA-C, LCSW
Provider Entity Type
Individual
Gender
Female
Address
5501 Fortunes Ridge Dr Ste P, Durham, NC 27713-6102
Phone Number
919-319-7202
Fax Number
919-391-7203
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Meredith Rappaport, LCSW (Professional Name)
Provider Enumeration Date
September 29, 2009
Last Update Date
November 3, 2023
Certification Date
November 3, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
5501 Fortunes Ridge Dr Ste P
Durham, NC 27713-6102
City
Durham
Zip
27713-6102
Phone Number
919-319-7202
Fax Number
919-391-7203
Durham, NC 27713Get directions →

Provider Business Mailing Address Details

Address
Po Box 114
Kingfield, ME 04947-0114
City
Kingfield
State
ME
Zip
04947-0114
Phone Number
865-297-2497

License Information

License Number (1)
LSW5010
License State (1)
TN
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
0010-12177
License State (2)
NC
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
0010-12177
License State (3)
NC
Taxonomy (3)
Physician Assistant, Medical · 363AM0700X
License Number (4)
5287
License State (4)
TN
Taxonomy (4)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Meredith Rappaport, PA-C, LCSW?

The NPI number of Meredith Rappaport, PA-C, LCSW is 1205160801. It was assigned on September 29, 2009 and is currently active in the NPPES registry.

What is the specialty of Meredith Rappaport, PA-C, LCSW?

Meredith Rappaport, PA-C, LCSW is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in TN under license number LSW5010.

Where does Meredith Rappaport, PA-C, LCSW practice?

The practice location is 5501 Fortunes Ridge Dr Ste P, Durham, NC 27713-6102. The office can be reached at 919-319-7202 (phone) or 919-391-7203 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205160801 directly on the NPPES registry website.

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