Individual provider Active NPI

Marilyn Dansesreau, RN

  • Psychiatric/Mental Health Registered Nurse
  • Hawthorne, NV
National Provider Identifier
1053600684
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
TRN 330120 Issued in NV
Practice address
1000 C St
Hawthorne, NV 89415-0012
Phone
(775) 945-3368
Fax
(775) 945-2307
NPI assigned
Apr 5, 2011
Last updated
Apr 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X TRN 330120 NV Primary

Addresses

Primary practice location

1000 C St
Hawthorne, NV 89415-0012

Mailing address

1665 Old Hot Springs Rd
Suite 157
Carson City, NV 89706-0782
Phone (775) 687-5162

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
TRN 330120NVMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1053600684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 OLD HOT SPRINGS RD",
            "address_2": "SUITE 157",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060782",
            "telephone_number": "775-687-5162",
            "fax_number": "775-687-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 C ST",
            "city": "HAWTHORNE",
            "state": "NV",
            "postal_code": "894150012",
            "telephone_number": "775-945-3368",
            "fax_number": "775-945-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSESREAU",
        "first_name": "MARILYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NV",
            "license": "TRN 330120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.