Healthcare Provider Details

I. General information

NPI: 1700723202
Provider Name (Legal Business Name): RACHAEL E. GREGORY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 NAVASOTA DR
SPARKS NV
89436-9429
US

IV. Provider business mailing address

1344 DISC DR # 320
SPARKS NV
89436-0684
US

V. Phone/Fax

Practice location:
  • Phone: 775-538-0880
  • Fax: 775-372-2166
Mailing address:
  • Phone: 775-538-0880
  • Fax: 775-372-2166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. RACHAEL ELIZABETH GREGORY
Title or Position: PRESIDENT
Credential: NURSE
Phone: 775-538-0880