NPIMap

Individual provider Active NPI

Kaitlyn Ann Cummings, APRN, FNP-BC

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1265279889
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
880152 Issued in NV
Practice address
5375 Reno Corporate Dr Ste 100
Reno, NV 89511-2381
Phone
(775) 384-1134
Fax
(775) 284-1523
NPI assigned
Jul 11, 2024
Last updated
Sep 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 880152 NV Primary

Addresses

Primary practice location

5375 Reno Corporate Dr Ste 100
Reno, NV 89511-2381

Mailing address

9920 Brightridge Dr
Reno, NV 89506-5547
Phone (775) 513-7658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241007001372 NV Practitioner - Nurse Practitioner 9638600273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Challapalli Cardiology PCGroup PAC ID 1456723162, 8 clinicians

Practice addresses (Care Compare)

5375 Reno Corporate Dr
Reno, NV 89511-2381
Phone (775) 384-1134

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
880152NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Challapalli Cardiology PC CurrentSince Sep 23, 2024 Accepting new patients

Locations

5375 Reno Corporate Dr
Reno, NV 89511
Phone (775) 376-9426

5375 Reno Corporate Dr
Ste 100
Reno, NV 89511
Phone (775) 384-1134

5385 Reno Corporate Dr
Reno, NV 89511
Phone (775) 384-1134

Interoperability endpoints

  • Direct secure messaging: kaitlyn.cummings.1@27787.direct.athenahealth.com

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.

Hospital & facility affiliations 10

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": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1265279889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 BRIGHTRIDGE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895065547",
            "telephone_number": "775-513-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 RENO CORPORATE DR STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112381",
            "telephone_number": "775-384-1134",
            "fax_number": "775-284-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "KAITLYN",
        "middle_name": "ANN",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "880152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.