Healthcare Provider Details

I. General information

NPI: 1104229483
Provider Name (Legal Business Name): RACHAEL ADAIR CNM, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2014
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 BUHNE ST STE A
EUREKA CA
95501-3205
US

IV. Provider business mailing address

1682 CLARA AVE
FORTUNA CA
95540-3814
US

V. Phone/Fax

Practice location:
  • Phone: 707-630-5281
  • Fax:
Mailing address:
  • Phone: 707-599-8839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95011778
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20394
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number751747
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number235732
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: