Healthcare Provider Details

I. General information

NPI: 1114833571
Provider Name (Legal Business Name): RACHEL ANNE BARKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 W PARK ST
TECUMSEH OK
74873-2828
US

IV. Provider business mailing address

43 BRISTOW LN
SHAWNEE OK
74801-9701
US

V. Phone/Fax

Practice location:
  • Phone: 405-598-5500
  • Fax: 405-598-5525
Mailing address:
  • Phone: 405-598-5500
  • Fax: 405-598-5525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberR0080812
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: