Healthcare Provider Details

I. General information

NPI: 1245161538
Provider Name (Legal Business Name): RACHEL EVA ROBERTS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 FIEDLER AVE
DILLON CO
80435-6930
US

IV. Provider business mailing address

2918 CHAMPA ST
DENVER CO
80205-2747
US

V. Phone/Fax

Practice location:
  • Phone: 203-383-0994
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW.0009927215
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: