Individual provider Active NPI

Rachel Renee Colbourn, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Baltimore, MD
National Provider Identifier
1952565459
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
05758 Issued in MD
Practice address
5900 Metro Dr
Baltimore, MD 21215-3207
Phone
(410) 318-6780
Fax
(410) 318-6759
NPI assigned
Jul 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 05758 MD Primary

Addresses

Primary practice location

5900 Metro Dr
Baltimore, MD 21215-3207

Mailing address

5900 Metro Dr
Baltimore, MD 21215-3207
Phone (410) 318-6780

Other names 1

  • Rachel Renee Townsend Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
05758MDMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1952565459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 METRO DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153207",
            "telephone_number": "410-318-6780",
            "fax_number": "410-318-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 METRO DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212153207",
            "telephone_number": "410-318-6780",
            "fax_number": "410-318-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBOURN",
        "first_name": "RACHEL",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "05758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "TOWNSEND",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.