Individual provider Active NPI

Carol J Daake, RN MSN APN

  • Nurse Practitioner
  • Reno, NV
National Provider Identifier
1003988007
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN000891 Issued in NV
Practice address
645 N Arlington Ave Ste 460
Reno, NV 89503-4451
Phone
(775) 770-7404
Fax
(775) 770-7474
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN000891 NV Primary

Addresses

Primary practice location

645 N Arlington Ave Ste 460
Reno, NV 89503-4451

Mailing address

645 N Arlington Ave Ste 460
Reno, NV 89503-4451
Phone (775) 770-7404

Other identifiers 2

IdentifierTypeStateIssuer
APN000891OtherNVNV STATE PHARMACY
APN000891OtherNVAPN LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003988007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE STE 460",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034451",
            "telephone_number": "775-770-7404",
            "fax_number": "775-770-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE STE 460",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034451",
            "telephone_number": "775-770-7404",
            "fax_number": "775-770-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAAKE",
        "first_name": "CAROL",
        "middle_name": "J",
        "credential": "RN MSN APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN000891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE PHARMACY",
            "identifier": "APN000891",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LIC",
            "identifier": "APN000891",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.