Healthcare Provider Details

I. General information

NPI: 1609787274
Provider Name (Legal Business Name): ERIN RAKES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 BARNHILL DR
INDIANAPOLIS IN
46202-5128
US

IV. Provider business mailing address

117 W BERRY ST
GREENCASTLE IN
46135-1904
US

V. Phone/Fax

Practice location:
  • Phone: 270-838-6236
  • Fax:
Mailing address:
  • Phone: 317-752-2668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0002X
TaxonomyHigh-Risk Obstetric Registered Nurse
License Number28295932C
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: