Healthcare Provider Details

I. General information

NPI: 1932035912
Provider Name (Legal Business Name): RACHEL NAVES
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 RESERVOIR RD NW
WASHINGTON DC
20007-2111
US

IV. Provider business mailing address

3700 RESERVOIR RD NW
WASHINGTON DC
20007-2111
US

V. Phone/Fax

Practice location:
  • Phone: 915-781-3482
  • Fax:
Mailing address:
  • Phone: 915-781-3482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2024000957
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: