Individual provider Active NPI

Vibeth Atienza, FNP

  • Nurse Practitioner
  • Reno, NV
National Provider Identifier
1114220670
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
817653 Issued in NV
Practice address
5423 Reno Corporate Dr
Reno, NV 89511-2250
Phone
(775) 329-0873
Fax
(775) 329-1026
NPI assigned
Dec 6, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110510000709 TX Practitioner - Nurse Practitioner 5799961603 Reassigns benefits to 1 organization
I20190801002633 NV Practitioner - Nurse Practitioner 5799961603 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
817653NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Aug 20, 2018 Accepting new patients
John a Shields MD and Steven a Schiff MD a Professional Corporation CurrentSince Jun 1, 2019 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Aug 20, 2018 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients

Locations

5423 Reno Corporate Dr
Reno, NV 89511
Phone (775) 329-0873

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 817653 NV Primary

Addresses

NPPES NPI Registry

Primary practice location

5423 Reno Corporate Dr
Reno, NV 89511-2250

Mailing address

PO Box 844074
Los Angeles, CA 90084-4074
Phone (775) 329-0873

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2019.

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1114220670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844074",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900844074",
            "telephone_number": "775-329-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5423 RENO CORPORATE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112250",
            "telephone_number": "775-329-0873",
            "fax_number": "775-329-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATIENZA",
        "first_name": "VIBETH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "817653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.