Provider Demographics
NPI:1407483779
Name:NEWLAND, RACHEL E
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:NEWLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 FORD ST
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-6601
Mailing Address - Country:US
Mailing Address - Phone:303-278-2020
Mailing Address - Fax:303-279-7623
Practice Address - Street 1:2301 FORD ST
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-6601
Practice Address - Country:US
Practice Address - Phone:303-278-2020
Practice Address - Fax:303-279-7623
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2128152W00000X
CO3854152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOQ00213182OtherRAILROAD MEDICARE