Healthcare Provider Details

I. General information

NPI: 1932065224
Provider Name (Legal Business Name): RACHEL BRUMFIELD FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3676 PARKER BLVD
PUEBLO CO
81008-2212
US

IV. Provider business mailing address

873 REGENT CT
FOUNTAIN CO
80817-4694
US

V. Phone/Fax

Practice location:
  • Phone: 719-553-2208
  • Fax:
Mailing address:
  • Phone: 952-388-8426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.1001628-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN1655009
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: