Healthcare Provider Details

I. General information

NPI: 1962041533
Provider Name (Legal Business Name): RACHEL GRACE SCANTLEBURY CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL GRACE FORSTER

II. Dates (important events)

Enumeration Date: 12/31/2019
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 L ST NW STE 700
WASHINGTON DC
20037-1543
US

IV. Provider business mailing address

8110 MAPLE LAWN BLVD STE 235
FULTON MD
20759-2694
US

V. Phone/Fax

Practice location:
  • Phone: 202-331-9293
  • Fax: 410-584-1739
Mailing address:
  • Phone: 301-340-8339
  • Fax: 301-340-9027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberRN1036217
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN1036217
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: