MEDICARE: DR. RANDI GRINSELL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	10448	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HD404Z	OTHER	NV	PTAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710985262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANDI GRINSELL M.D.

Provider Business Mailing Address
First Line	:	5975 S LOS ALTOS PKWY
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89436-7699
Country	:	US
Telephone Number	:	775-204-4000
Fax Number	:	775-204-4001

Provider Business Practice Location Address
First Line	:	6275 SHARLANDS AVE STE B15-18
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-3734
Country	:	US
Telephone Number	:	775-204-4000
Fax Number	:	775-204-4001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	03/17/2021

Similar Medicare Providers

1649364613 — CATHERINE MCNAMARA APN
Practice Location Address:

6275 SHARLANDS AVE STE B15-18
RENO, NV
89523-3734

Practice Phone: 775-204-4000
Practice Fax: 775-204-4001

1760556534 — CATHERINE DIAZ ESTIPONA MSN APN
Practice Location Address:

6275 SHARLANDS AVE STE B15-18
RENO, NV
89523-3734

Practice Phone: 775-204-4000
Practice Fax: 775-204-4001

1548649924 — MR. ROMMEL QUINONES CO
Practice Location Address:

6275 SHARLANDS AVE STE B15-18
RENO, NV
89523-3734

Practice Phone: 775-204-4000
Practice Fax: 775-204-4001

1609607563 — MASH ENTERPRISES LLC
Practice Location Address:

6190 MAE ANNE AVE STE 1
RENO, NV
89523-4709

Practice Phone: 775-260-7000
Practice Fax: 775-413-0265

1932104684 — DR. DAVID G ROVETTI DC
Practice Location Address:

5365 MAE ANNE AVE , STE. B-2
RENO, NV
89523-1840

Practice Phone: 775-324-3700
Practice Fax: 775-324-2370

1851381768 — SPARKS FAMILY HOSPITAL INC
Practice Location Address:

6225 SHARLANDS AVE
RENO, NV
89523-2785

Practice Phone: 775-683-4200
Practice Fax:

Directions to “ DR. RANDI GRINSELL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.