NPI Code Details Logo

NPI 1649184946

NPI 1649184946 : RACHELLE DILLARD CHW : KANSAS CITY, KS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1649184946
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    RACHELLE DILLARD CHW
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/01/2026
-----------------------------------------------------
    Last Update Date     |    10/01/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    709 N 6TH ST STE 208 
-----------------------------------------------------
    City                 |    KANSAS CITY
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    66101-3031
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    816-226-7658
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1600 W ELM TER 
-----------------------------------------------------
    City                 |    OLATHE
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    66061-3825
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    913-995-2844
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    172V00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Health Worker
-----------------------------------------------------
    License Number       |    20861
-----------------------------------------------------
    License Number State |    MO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    172V00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Health Worker
-----------------------------------------------------
    License Number       |    250250
-----------------------------------------------------
    License Number State |    KS
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    171M00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Manager/Care Coordinator
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    KS
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.