MEDICARE: RACHEL MCCOURT

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	363LP0200X	Pediatric Nurse Practitioner	APRN.CNP.0041359	OH

General Provider Information

NPI Number	:	1831040757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL MCCOURT

Provider Business Mailing Address
First Line	:	2091 W 28TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113-4066
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0002
Country	:	US
Telephone Number	:	216-444-2200
Fax Number	:

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

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “ RACHEL MCCOURT ” Practice Location

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