=====================================================
General NPI Number Information
=====================================================
NPI Number | 1619710381
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RACHEL YEE FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/18/2024
-----------------------------------------------------
Last Update Date | 04/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 495 WESTERN AVE
-----------------------------------------------------
City | BRIGHTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02135-1007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-783-0500
-----------------------------------------------------
Fax | 617-562-1398
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 495 WESTERN AVE
-----------------------------------------------------
City | BRIGHTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02135-1007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-783-0500
-----------------------------------------------------
Fax | 617-562-1398
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | RN2360765
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | RN500009319
-----------------------------------------------------
License Number State | DC
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | RN2360765
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------