Individual provider Active NPI

Vibeke Nunez, CRNA

  • Certified Registered Nurse Anesthetist
  • Reno, NV
National Provider Identifier
1063957678
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
56648 Issued in NV
Practice address
880 Ryland St
Reno, NV 89502-1603
Phone
(775) 329-4600
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 56648 NV Primary

Addresses

Primary practice location

880 Ryland St
Reno, NV 89502-1603

Mailing address

2025 Long Hollow Dr
Reno, NV 89521-4312
Phone (775) 742-3931

Other names 1

  • Vibeke Rodrigue Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170202000702 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143503912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health AssociatesGroup PAC ID 0547247082, 38 clinicians
Gastroenterology Consultants LTDGroup PAC ID 0941107478, 39 clinicians

Practice addresses (Care Compare)

655 Sierra Rose Dr
Reno, NV 89511-2060
Phone (775) 829-7600

880 Ryland St
Reno, NV 89502-1603
Phone (775) 329-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
56648NVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Consultants, LTD CurrentSince Feb 1, 2017 Accepting new patients

Locations

10619 Professional Cir
Reno, NV 89521
Phone (775) 329-4600

880 Ryland St
Reno, NV 89502
Phone (775) 329-4600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1063957678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 LONG HOLLOW DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214312",
            "telephone_number": "775-742-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 RYLAND ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021603",
            "telephone_number": "775-329-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "VIBEKE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "56648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIBEKE",
            "last_name": "RODRIGUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.