MEDICARE: RACHEL WINSTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer		MD
2	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1740876812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL WINSTON

Provider Business Mailing Address
First Line	:	919 FLORIDA AVE NW APT 602
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20001-5048
Country	:	US
Telephone Number	:	734-329-3230
Fax Number	:

Provider Business Practice Location Address
First Line	:	919 FLORIDA AVE NW APT 602
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20001-5048
Country	:	US
Telephone Number	:	734-329-3230
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2020
Last Update Date	:	04/20/2022

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Directions to “ RACHEL WINSTON ” Practice Location

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