Basic Information
Provider Information
NPI: 1437687340
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHESLEY
FirstName: RACHEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12040 NE 128TH STREET
Address2: MS-50
City: KIRKLAND
State: WA
PostalCode: 980341703
CountryCode: US
TelephoneNumber: 4258991894
FaxNumber: 4258991933
Practice Location
Address1: 30207 US 2
Address2:  
City: SULTAN
State: WA
PostalCode: 982948693
CountryCode: US
TelephoneNumber: 3607930201
FaxNumber: 3607932429
Other Information
ProviderEnumerationDate: 05/23/2017
LastUpdateDate: 08/06/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAP60763633WAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home