Individual provider Active NPI

Nancy Prahm, NP-C

  • Nurse Practitioner
  • Reno, NV
National Provider Identifier
1134519416
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001549 Issued in NV
Practice address
18653 Wedge Pkwy Ste 300
Reno, NV 89511-3038
Phone
(775) 770-7210
NPI assigned
Jan 26, 2015
Last updated
Jan 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN001549 NV Primary

Addresses

Primary practice location

18653 Wedge Pkwy Ste 300
Reno, NV 89511-3038

Mailing address

411 W 6TH St
Reno, NV 89503-4415
Phone (775) 770-7351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN001549NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Mary's Medical Group Inc CurrentSince Feb 20, 2015 Accepting new patients
Saint Marys Medical Group Inc. Current Accepting new patients
Saint Marys Medical Group Inc. CurrentSince Feb 20, 2015 Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nancy.prahm.p1@direct.smmg.nextgenshare.com

Organizations & group practices 3

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1134519416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 6TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034415",
            "telephone_number": "775-770-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18653 WEDGE PKWY STE 300",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113038",
            "telephone_number": "775-770-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAHM",
        "first_name": "NANCY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.