Individual provider Active NPI

Nancy Hedqvist, RNFA

  • Registered Nurse First Assistant
  • Gardnerville, NV
National Provider Identifier
1043477011
Registry record updated Aug 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
24163 Issued in NV
Practice address
1362 US Highway 395 N Ste 102-88
Gardnerville, NV 89410-7306
Phone
(530) 318-4077
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 507306 CA
Registered Nurse First Assistant 163WR0006X 24163 NV Primary

Addresses

Primary practice location

1362 US Highway 395 N Ste 102-88
Gardnerville, NV 89410-7306

Mailing address

1362 US Highway 395 N Ste 102-88
Gardnerville, NV 89410-7306
Phone (530) 318-4077

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
507306CAMDRegistered Nurse First Assistant
24163NVMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693094400000",
    "number": "1043477011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 US HIGHWAY 395 N STE 102-88",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894107306",
            "telephone_number": "530-318-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 US HIGHWAY 395 N STE 102-88",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894107306",
            "telephone_number": "530-318-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDQVIST",
        "first_name": "NANCY",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2023-08-27",
        "certification_date": "2023-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "507306",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NV",
            "license": "24163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2023; 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.