Active NPI
Dina Anne Brothers, D.O.
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- Reno, NV
National Provider Identifier
1225356967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- License
- DO4164
- Practice address
- 10315 Professional Cir Ste 101
Reno, NV 89521-4824 - Phone
- (775) 982-2828
- Fax
- (775) 982-2834
- NPI assigned
- May 5, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO4164 | NV | |
| Hospice and Palliative Medicine (Emergency Medicine) Physician | 207PH0002X | DO4164 | NV | Primary |
Addresses
Primary practice location
10315 Professional Cir Ste 101
Reno, NV 89521-4824
Mailing address
1155 Mill St # McM14
Reno, NV 89502-1576
Phone (775) 982-2828
Other names 1
- Mrs. Dina Anne Kacick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO167786 | OR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 2, Klickitat County Washington | Current | Accepting new patients | |
| Public Hospital District No 2, Klickitat County, Washington | Current | Accepting new patients | |
| Emergency Medicine Associates PC | Emergency Medicine | Current | Accepting new patients |
| Peacehealth | Past | Accepting new patients |
Locations
600 NE 92nd Ave
Vancouver, WA 98664
Phone (360) 514-2142
Interoperability endpoints
- dbrothers214182@direct.renown.org
- https://fhir-myrecord.cerner.com/r4/ac6e817f-dc27-43e8-b886-6559f137e853/
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.
-
- Emergency Medicine Physician
- Vancouver, WA
- NPI 1962453860
-
dba Skyline Hospital
- Critical Access Hospital
- White Salmon, WA
- NPI 1952483653
-
dba Skyline Medical Clinic
- Rural Health Clinic/Center
- White Salmon, WA
- NPI 1467961250
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1225356967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 MILL ST # MCM14",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-2828",
"fax_number": "775-982-2834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10315 PROFESSIONAL CIR STE 101",
"city": "RENO",
"state": "NV",
"postal_code": "895214824",
"telephone_number": "775-982-2828",
"fax_number": "775-982-2834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROTHERS",
"first_name": "DINA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-05",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "DO4164",
"primary": false
},
{
"code": "207PH0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Hospice and Palliative Medicine",
"state": "NV",
"license": "DO4164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DINA",
"last_name": "KACICK",
"middle_name": "ANNE",
"prefix": "MRS.",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.