Individual provider Active NPI

Danielle Barisone

  • Gerontology Nurse Practitioner
  • Sparks, NV
National Provider Identifier
1124471263
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN002290 Issued in NV
Practice address
5070 Ion Dr
Suite 200
Sparks, NV 89436-1612
Phone
(775) 352-5335
Fax
(775) 352-5334
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN002290 NV Primary

Addresses

Primary practice location

5070 Ion Dr
Suite 200
Sparks, NV 89436-1612

Mailing address

2345 E. Prater Way
Suite 207
Sparks, NV 89436
Phone (775) 356-4067

Other identifiers 1

IdentifierTypeStateIssuer
1124471263MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160930001319 NV Practitioner - Nurse Practitioner 1759678956 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
K Sasse Surgical Associates, Professional Corporation CurrentSince Feb 17, 2018 Accepting new patients

Locations

75 Pringle Way
Ste 804
Reno, NV 89502
Phone (775) 784-7700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1124471263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E. PRATER WAY",
            "address_2": "SUITE 207",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "89436",
            "telephone_number": "775-356-4067",
            "fax_number": "775-356-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 ION DR",
            "address_2": "SUITE 200",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894361612",
            "telephone_number": "775-352-5335",
            "fax_number": "775-352-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARISONE",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "APRN002290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124471263",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.