Healthcare Provider Details

I. General information

NPI: 1619694874
Provider Name (Legal Business Name): RACHEL RENEE BIRCHFIELD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2022
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1921 STONECIPHER BLVD
ADA OK
74820-3439
US

IV. Provider business mailing address

1921 STONECIPHER BLVD
ADA OK
74820-3439
US

V. Phone/Fax

Practice location:
  • Phone: 580-421-4550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4900
License Number StateOK

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: