Individual provider Active NPI

Edisben Salvilla Anasarias

  • Registered Nurse
  • Reno, NV
National Provider Identifier
1194595694
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN92236 Issued in NV
Practice address
10345 Professional Cir Ste 125
Reno, NV 89521-3100
Phone
(775) 348-7300
Fax
(855) 253-3789
NPI assigned
Jan 5, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN92236 NV Primary

Addresses

Primary practice location

10345 Professional Cir Ste 125
Reno, NV 89521-3100

Mailing address

695 W 3Rd St Apt 335
Reno, NV 89503-5254
Phone (310) 489-5725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN92236NVMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1194595694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 W 3RD ST APT 335",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035254",
            "telephone_number": "310-489-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 PROFESSIONAL CIR STE 125",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895213100",
            "telephone_number": "775-348-7300",
            "fax_number": "855-253-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANASARIAS",
        "first_name": "EDISBEN",
        "middle_name": "SALVILLA",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN92236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.