Provider Demographics
NPI:1316080427
Name:SHOTTS, RACHEL E
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:SHOTTS
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 1:14870 ROSEBUD DR
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-4715
Mailing Address - Country:US
Mailing Address - Phone:317-773-3805
Mailing Address - Fax:317-770-9626
Practice Address - Street 1:14870 ROSEBUD DR
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-4715
Practice Address - Country:US
Practice Address - Phone:317-773-3805
Practice Address - Fax:317-770-9626
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN925262373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist