MEDICARE: RACHEL EMILY CRIST MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	04-51468	KS

General Provider Information

NPI Number	:	1548841166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL EMILY CRIST MD

Provider Business Mailing Address
First Line	:	1200 SCHWEGLER DR
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66045-7558
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 SCHWEGLER DR
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66045-7558
Country	:	US
Telephone Number	:	785-864-2277
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2021
Last Update Date	:	08/04/2025

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