Provider Demographics
NPI:1588187470
Name:PIACSEK, RACHEL ERIN (APRN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ERIN
Last Name:PIACSEK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ERIN
Other - Last Name:KROGMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5200 COMMERCE CROSSINGS DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-2182
Mailing Address - Country:US
Mailing Address - Phone:502-489-6614
Mailing Address - Fax:502-489-5751
Practice Address - Street 1:789 EASTERN BYP STE 16
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2400
Practice Address - Country:US
Practice Address - Phone:859-624-6501
Practice Address - Fax:859-624-6509
Is Sole Proprietor?:No
Enumeration Date:2017-07-21
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY301099363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY301099OtherKY LICENSURE