Individual provider Active NPI

Kassidy Garland, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Reno, NV
National Provider Identifier
1215765789
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
816955 Issued in NV
Practice address
625 Innovation Dr
Reno, NV 89511-2215
Phone
(775) 799-7320
NPI assigned
Jul 24, 2024
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 816955 NV Primary

Addresses

Primary practice location

625 Innovation Dr
Reno, NV 89511-2215

Mailing address

2255 Putnam Dr
Reno, NV 89503-2426

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
I20250502003026 NV Practitioner - Nurse Practitioner 9638696669 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Tahoe Physician ClinicsGroup PAC ID 1153479027, 104 clinicians
CTH Physicians ClinicGroup PAC ID 1254787203, 107 clinicians

Practice addresses (Care Compare)

2874 N Carson St
Suite 120
Carson City, NV 89706-1681
Phone (775) 888-6513

973 Mica Dr
Suite 200
Carson City, NV 89705-7258
Phone (775) 445-7228

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
816955NVMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Physician Clinics CurrentSince Jun 1, 2025 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Jun 1, 2025 Accepting new patients
CTH Physicians Clinic CurrentSince Dec 1, 2025 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Jun 1, 2025 Accepting new patients

Locations

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

2874 N Carson St
Ste 120
Carson City, NV 89706
Phone (775) 445-5181

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

973 Mica Dr
Ste 200
Carson City, NV 89705
Phone (775) 267-6700

901 Medical Center Dr
Ste 203
Dayton, NV 89403
Phone (775) 445-7630

10539 Professional Cir
Ste 200
Reno, NV 89521
Phone (775) 445-7026

Interoperability endpoints

  • Direct secure messaging: kgarland753793@direct.med.utah.edu

Organizations & group practices 4

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.

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": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1215765789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 PUTNAM DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 INNOVATION DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112215",
            "telephone_number": "775-799-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLAND",
        "first_name": "KASSIDY",
        "credential": "ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NV",
            "license": "816955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.