Provider Demographics
NPI:1235816794
Name:VAN ORDEN, RACHEL TINSLEY (MS, CF-SLP, RN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:TINSLEY
Last Name:VAN ORDEN
Suffix:
Gender:F
Credentials:MS, CF-SLP, RN
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:TINSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CF-SLP, RN
Mailing Address - Street 1:1591 PORT REPUBLIC RD
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3517
Mailing Address - Country:US
Mailing Address - Phone:540-437-4226
Mailing Address - Fax:
Practice Address - Street 1:1591 PORT REPUBLIC RD
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22801-3517
Practice Address - Country:US
Practice Address - Phone:540-437-4226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001288258163W00000X
VA2204001190235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No163W00000XNursing Service ProvidersRegistered Nurse