Individual provider Active NPI

Wanda J Rosenlund

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Sparks, NV
National Provider Identifier
1235599978
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Practice address
2968 Allariz CT
Sparks, NV 89436-6446
Phone
(775) 425-4585
Fax
(775) 425-4585
NPI assigned
Feb 23, 2016
Reactivated
Mar 13, 2023
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU Primary

Addresses

Primary practice location

2968 Allariz CT
Sparks, NV 89436-6446

Mailing address

2968 Allariz CT
Sparks, NV 89436-6446
Phone (775) 425-4585

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wanda J Rosenlund Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1235599978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2968 ALLARIZ CT",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894366446",
            "telephone_number": "775-425-4585",
            "fax_number": "775-425-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2968 ALLARIZ CT",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894366446",
            "telephone_number": "775-425-4585",
            "fax_number": "775-425-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENLUND",
        "first_name": "WANDA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "deactivation_date": "2016-03-28",
        "reactivation_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.