Active NPIIndividual provider

Rachael K Gormally, NP

Nurse Practitioner, Family in Roxbury, Massachusetts

NPI Number1659020220
Practice location
75 Malcolm X Blvd, Roxbury, MA 02120-3106
Fax
—
Last updated
November 2, 2026

Rachael Kay Gormally is a Nurse Practitioner, Family based in Roxbury, MA. Rachael Kay Gormally practices in Roxbury, MA and has the professional credentials of NP. The NPI Number for Rachael Kay Gormally is 1659020220 and holds a License No. RN2351981 (MA). The current practice location address for Rachael Kay Gormally is 75 Malcolm X Blvd, Roxbury, MA 02120-3106 and can be reached out via phone at 617-534-9951.

Provider Profile Details

NPI Number
1659020220
Provider Name
Rachael Kay Gormally
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
75 Malcolm X Blvd, Roxbury, MA 02120-3106
Phone Number
617-534-9951
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2022
Last Update Date
November 2, 2026
Certification Date
November 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Malcolm X Blvd
Roxbury, MA 02120-3106
Zip
02120-3106
Phone Number
617-534-9951
Roxbury, MA 02120Get directions →

Provider Business Mailing Address Details

Address
1010 Massachusetts Ave Fl 2
Boston, MA 02118-3539
City
Boston
State
MA
Zip
02118-3539

License Information

License Number (1)
RN2351981
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2351981
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rachael K Gormally, NP?

The NPI number of Rachael K Gormally, NP is 1659020220. It was assigned on March 22, 2022 and is currently active in the NPPES registry.

What is the specialty of Rachael K Gormally, NP?

Rachael K Gormally, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2351981.

Where does Rachael K Gormally, NP practice?

The practice location is 75 Malcolm X Blvd, Roxbury, MA 02120-3106. The office can be reached at 617-534-9951 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659020220 directly on the NPPES registry website.

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