Provider Demographics
NPI:1548841778
Name:RAPACZ, ATHENA CATHERINE (PA-C)
Entity type:Individual
Prefix:MS
First Name:ATHENA
Middle Name:CATHERINE
Last Name:RAPACZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ATHENA
Other - Middle Name:CATHERINE
Other - Last Name:REESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:805 CHEROKEE AVE UNIT 6
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-5285
Mailing Address - Country:US
Mailing Address - Phone:256-859-8590
Mailing Address - Fax:
Practice Address - Street 1:4515 HARDING PIKE STE 327
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2118
Practice Address - Country:US
Practice Address - Phone:615-416-8010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-19
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4512363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty