Active NPI
Leeanna Bristol, APN
- Acute Care Nurse Practitioner
- Carson City, NV
National Provider Identifier
1205127479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APN001239
- Practice address
- 2874 N Carson Street
Suite 200
Carson City, NV 89706-1682 - Phone
- (775) 883-9003
- Fax
- (775) 883-0959
- NPI assigned
- Apr 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APN001239 | NV | Primary |
Addresses
Primary practice location
2874 N Carson Street
Suite 200
Carson City, NV 89706-1682
Mailing address
2874 N Carson Street
Suite 200
Carson City, NV 89706-1682
Phone (775) 445-7291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APN001239 | Other | NV | APN LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN001239 | NV | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303430400000",
"number": "1205127479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2874 N CARSON STREET",
"address_2": "SUITE 200",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897061682",
"telephone_number": "775-445-7291",
"fax_number": "775-888-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2874 N CARSON STREET",
"address_2": "SUITE 200",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897061682",
"telephone_number": "775-883-9003",
"fax_number": "775-883-0959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISTOL",
"first_name": "LEEANNA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-22",
"last_updated": "2011-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NV",
"license": "APN001239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN LICENSE",
"identifier": "APN001239",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.