Individual provider Active NPI

Racheal Lynn Whitaker, M.D.

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1316960529
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19537 Issued in NV
Practice address
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone
(702) 255-3547
Fax
(702) 921-2419
NPI assigned
Jul 26, 2006
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2013030521 MO
Obstetrics & Gynecology Physician 207V00000X 19537 NV Primary

Addresses

Primary practice location

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

9260 W Sunset Rd Ste 200
Las Vegas, NV 89148-4903
Phone (702) 255-3547

Other identifiers 1

IdentifierTypeStateIssuer
1316960529OtherMONPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131209000102 MO Practitioner - Obstetrics/Gynecology 4385649839 Reassigns benefits to 3 organizations
I20200226000279 NV Practitioner - Obstetrics/Gynecology 4385649839 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19537NVMDPharmacist
2013030521MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ste Genevieve County Memorial Hospital Family Medicine Current Accepting new patients
Intermountain Medical Holdings Nevada Inc Family Medicine CurrentSince Jan 5, 2022 Accepting new patients
Iriye Medical Group PLLC CurrentSince Apr 1, 2024 Accepting new patients
Healthcare Partners Medical Group Coats LTD Family Medicine Current Accepting new patients
Ste Genevieve County Memorial Hospital Gynecology Current Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 5, 2022 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Oct 1, 2016 Accepting new patients
Ste Genevieve County Memorial Hospital Obstetrics & Gynecology CurrentSince Nov 1, 2016 Accepting new patients
Ste Genevieve County Memorial Hospital Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Carestl Health Past Accepting new patients

Locations

255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727

120 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 883-1199

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

2011 Pinto Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 382-3200

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

5320 S Rainbow Blvd
Ste 182
Las Vegas, NV 89118
Phone (702) 304-5722

6355 S Buffalo Dr
Las Vegas, NV 89113
Phone (702) 952-9171

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1316960529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-255-3547",
            "fax_number": "702-921-2419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9260 W Sunset Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891484903",
            "country_code": "US",
            "telephone_number": "702-255-3547",
            "fax_number": "702-921-2419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "RACHEAL",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2013030521",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "19537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316960529",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.