Individual provider Active NPI

Rachel Elizabeth Grant, FNP-C

  • Nurse Practitioner
  • West Wendover, NV
National Provider Identifier
1699250753
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
851380 Issued in NV
Practice address
925 Wells Ave
West Wendover, NV 89883
Phone
(775) 664-2220
NPI assigned
Sep 25, 2018
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138920 TX
Nurse Practitioner 363L00000X 851380 NV Primary

Addresses

Primary practice location

925 Wells Ave
West Wendover, NV 89883

Mailing address

3325 Research Way
Carson City, NV 89706-7913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20220803001534 NV Practitioner - Nurse Practitioner 2466785464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Health Centers IncGroup PAC ID 7113835307, 39 clinicians

Practice addresses (Care Compare)

762 14TH St
Elko, NV 89801-3413
Phone (776) 738-1553

925 Wells Ave
West Wendover, NV 89883-4889
Phone (775) 664-2220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
851380NVMDNurse Practitioner
AP138920TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Health Centers Inc CurrentSince Jul 11, 2022 Accepting new patients
Nevada Health Centers, Inc CurrentSince Jul 11, 2022 Accepting new patients
Nevada Health Centers, Inc Current Accepting new patients
Cactus Health Services, Inc Past Accepting new patients

Locations

1690 E Amargosa Farm Rd
Amargosa Valley, NV 89020
Phone (775) 372-5432

3325 Research Way
Carson City, NV 89706
Phone (775) 887-5140

618 W Musser St
Carson City, NV 89703
Phone (775) 445-3500

762 14th St
Elko, NV 89801
Phone (775) 738-5850

3900 Cambridge St
Ste 102
Las Vegas, NV 89119
Phone (702) 307-5415

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10395/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rachel.grant.p1@direct.nevadahealthcenters.nextgenshare.com
  • Direct secure messaging: rgrant694949@direct.ochin.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1699250753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 RESEARCH WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WELLS AVE",
            "city": "WEST WENDOVER",
            "state": "NV",
            "postal_code": "89883",
            "telephone_number": "775-664-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138920",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "851380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Wendover, NV

Sources for this page

Verify at the official NPI Registry.