Individual provider Active NPI

Carrie Lynn Yamamoto, APRN

  • Nurse Practitioner
  • Sparks, NV
National Provider Identifier
1174908826
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001927 Issued in NV
Practice address
2385 E Prater Way Ste 302
Sparks, NV 89434-9638
Phone
(775) 387-1616
Fax
(775) 387-1777
NPI assigned
Jul 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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 APRN001927 NV Primary

Addresses

Primary practice location

2385 E Prater Way Ste 302
Sparks, NV 89434-9638

Mailing address

2345 E Prater Way Ste 207
Sparks, NV 89434-9634
Phone (775) 387-1616

Other identifiers 1

IdentifierTypeStateIssuer
1174908826MedicaidNV

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
I20150901000878 NV Practitioner - Nurse Practitioner 8628384971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mariko C Rajamand PLLCGroup PAC ID 4385016435, 8 clinicians

Practice addresses (Care Compare)

5448 Reno Corporate Dr
Reno, NV 89511-2620
Phone (775) 993-9292

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN001927NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mariko C Rajamand PLLC CurrentSince May 18, 2023 Accepting new patients

Locations

5448 Reno Corporate Dr
Reno, NV 89511
Phone (775) 993-9292

Interoperability endpoints

  • Direct secure messaging: femwell.carrieyamamoto@154370.advancedmd-direct.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1174908826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY STE 207",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349634",
            "telephone_number": "775-387-1616",
            "fax_number": "775-387-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 E PRATER WAY STE 302",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349638",
            "telephone_number": "775-387-1616",
            "fax_number": "775-387-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "CARRIE",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174908826",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.