Healthcare Provider Details

I. General information

NPI: 1962289058
Provider Name (Legal Business Name): RACHEL CATHERINE SCIMONE AGNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS RACHEL CATHERINE FAIETA

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PONDMEADOW DR STE 206
READING MA
01867-3261
US

IV. Provider business mailing address

20 PONDMEADOW DR STE 206
READING MA
01867-3266
US

V. Phone/Fax

Practice location:
  • Phone: 781-944-0040
  • Fax:
Mailing address:
  • Phone: 781-944-0040
  • Fax: 781-944-1684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN2328564
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2328564
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: