Individual provider Active NPI

Rachel Lareau Storey, DO

  • Family Medicine Physician
  • Denver, NC
National Provider Identifier
1699121053
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017-02370 Issued in NC
Practice address
269 Gillman Rd Ste 100
Denver, NC 28037-7923
Phone
(704) 316-4930
NPI assigned
May 4, 2016
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2017-02370 NC Primary

Addresses

Primary practice location

269 Gillman Rd Ste 100
Denver, NC 28037-7923

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

19485 Old Jetton Rd
Cornelius, NC 28031-6582
Phone (704) 316-5170

Other names 1

  • Rachel Gayle Lareau Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rstorey331665@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221114003208 GA Practitioner - Family Practice 6002198777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-02370NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MC Medical LLC Current Accepting new patients

Locations

702 SW 8th St
Bentonville, AR 72716

3615 Charles Hardy Pkwy
Ste 200
Dallas, GA 30157
Phone (770) 767-5542

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1699121053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 GILLMAN RD STE 100",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377923",
            "telephone_number": "704-316-4930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19485 Old Jetton Rd",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280316582",
            "country_code": "US",
            "telephone_number": "704-316-5170",
            "fax_number": "704-384-1776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOREY",
        "first_name": "RACHEL",
        "middle_name": "LAREAU",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2017-02370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rstorey331665@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "19485 Old Jetton Rd",
            "city": "Cornelius",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280316582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "LAREAU",
            "middle_name": "GAYLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.