Basic Information
| Provider Information | |||||||||
| NPI: | 1679883763 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOOPES | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | MEIGS | ||||||||
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| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15400 FOOTHILL BLVD | ||||||||
| Address2: | |||||||||
| City: | SAN LEANDRO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945781009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5103461468 | ||||||||
| FaxNumber: | 5108957286 | ||||||||
| Practice Location | |||||||||
| Address1: | 1411 E 31ST ST | ||||||||
| Address2: | |||||||||
| City: | OAKLAND | ||||||||
| State: | CA | ||||||||
| PostalCode: | 946021018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5103461468 | ||||||||
| FaxNumber: | 5108957286 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2010 | ||||||||
| LastUpdateDate: | 10/07/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 176B00000X | 1910 | CA | Y | Other Service Providers | Midwife |
ID Information
| ID | Type | State | Issuer | Description | 1910 | 01 | CA | NURSE MID-WIFE | OTHER |