Individual provider Active NPI

Shanna Lynn Schreurs, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Reno, NV
National Provider Identifier
1013311380
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN001861 Issued in NV
Practice address
10725 Double R Blvd Ste a
Reno, NV 89521-8973
Phone
(775) 800-1988
Fax
(775) 525-3357
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN65758 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN001861 NV Primary
Nurse Practitioner 363L00000X APRN001861 NV

Addresses

Primary practice location

10725 Double R Blvd Ste a
Reno, NV 89521-8973

Mailing address

10725 Double R Blvd Ste a
Reno, NV 89521-8973
Phone (775) 800-1988

Other practice location 1

4868 Sparks Blvd Ste 100
Sparks, NV 89436-8161
Phone (775) 800-1988

Other identifiers 2

IdentifierTypeStateIssuer
12774102OtherNVCAQH
APRN001861OtherNVAPRN LICENSE

Other names 1

  • Shanna Lynn Granberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN65758NVMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1013311380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 DOUBLE R BLVD STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218973",
            "telephone_number": "775-800-1988",
            "fax_number": "775-525-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 DOUBLE R BLVD STE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218973",
            "telephone_number": "775-800-1988",
            "fax_number": "775-525-3357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4868 Sparks Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894368161",
            "country_code": "US",
            "telephone_number": "775-800-1988",
            "fax_number": "775-525-3357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHREURS",
        "first_name": "SHANNA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN65758",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN001861",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12774102",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "APRN001861",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "GRANBERG",
            "middle_name": "LYNN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.