Healthcare Provider Details

I. General information

NPI: 1437014347
Provider Name (Legal Business Name): RACHELL D OWENS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5705 TUCKER CIR
OMAHA NE
68152-1841
US

IV. Provider business mailing address

2511 BRISTOL ST
OMAHA NE
68111-3285
US

V. Phone/Fax

Practice location:
  • Phone: 402-452-9339
  • Fax:
Mailing address:
  • Phone: 402-452-9339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: