Individual provider Active NPI

Rachel Gathro

  • Nurse Practitioner
  • North Salt Lake, UT
National Provider Identifier
1619748464
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10837186-4405 Issued in UT
Practice address
763 N Redwood Rd Ste 110
North Salt Lake, UT 84054-2895
Phone
(801) 292-1423
NPI assigned
Jan 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 10837186-3102 UT
Nurse Practitioner 363L00000X 10837186-4405 UT Primary

Addresses

Primary practice location

763 N Redwood Rd Ste 110
North Salt Lake, UT 84054-2895

Mailing address

5233 W Armada Way
Herriman, UT 84096-8308
Phone (801) 885-0889

Other practice location 1

520 Medical Dr Ste 300
Bountiful, UT 84010-8925
Phone (801) 292-1422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250604004347 UT Practitioner - Nurse Practitioner 5799294252 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Joshua Oaks MD PLLCGroup PAC ID 0840776688, 31 clinicians

Practice addresses (Care Compare)

520 Medical Dr
Suite 300
Bountiful, UT 84010-4968

520 Medical Dr
Suite 300
Bountiful, UT 84010-8925
Phone (801) 292-1422

Hospital & facility affiliations

  • Lakeview Hospital Hospital, Bountiful, UT, CCN 460042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ma Bo Inc CurrentSince Dec 8, 2025 Accepting new patients
Joshua Oaks MD PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

520 Medical Dr
Ste 300
Bountiful, UT 84010
Phone (801) 292-1422

763 N Redwood Rd
Ste 110
North Salt Lake, UT 84054
Phone (801) 292-1423

466 E 500 S
Ste 200
Salt Lake Cty, UT 84111
Phone (801) 485-5055

Interoperability endpoints

  • Direct secure messaging: rachel.gathro.1@16218.direct.athenahealth.com

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1619748464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 W ARMADA WAY",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840968308",
            "telephone_number": "801-885-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 N REDWOOD RD STE 110",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542895",
            "telephone_number": "801-292-1423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Medical Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840108925",
            "country_code": "US",
            "telephone_number": "801-292-1422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATHRO",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "UT",
            "license": "10837186-3102",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "10837186-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Salt Lake, UT

Sources for this page

Verify at the official NPI Registry.