Provider Demographics
NPI:1316386469
Name:CARPENTER, RACHEL MARINCH (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MARINCH
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ALYSSA
Other - Last Name:MARINCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1960 OGDEN ST
Mailing Address - Street 2:SUITE 460
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-3666
Mailing Address - Country:US
Mailing Address - Phone:303-318-2500
Mailing Address - Fax:303-318-2575
Practice Address - Street 1:1960 OGDEN ST
Practice Address - Street 2:SUITE 460
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-3666
Practice Address - Country:US
Practice Address - Phone:303-318-2500
Practice Address - Fax:303-318-2575
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0054974207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO029367OtherKAISER COMMERCIAL NUMBER
CO87220075Medicaid