Healthcare Provider Details

I. General information

NPI: 1790363323
Provider Name (Legal Business Name): EMILY RACHEL SHIPLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 RESEARCH WAY
CARSON CITY NV
89706-7913
US

IV. Provider business mailing address

3325 RESEARCH WAY
CARSON CITY NV
89706-7913
US

V. Phone/Fax

Practice location:
  • Phone: 775-887-5140
  • Fax: 775-884-3618
Mailing address:
  • Phone: 702-220-9902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number27704
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number27704
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: