Physician Compare National (NPI:1386916500)

HEALTHCARE PROVIDER: RACHEL DENISE SPIKES ARNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1386916500
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4183881931
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120206000547
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SPIKES
	Individual professional last name
Provider First Name	RACHEL
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7841 LIBERTY AVE
	Group Practice or individual's line 1 address
City	SOUTHPORT
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	324093335
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	100242
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GULF COAST REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y