Individual provider Active NPI

Jennifer Leigh Stroshine, APN

  • Nurse Practitioner
  • Reno, NV
National Provider Identifier
1275701591
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001025 Issued in NV
Practice address
9990 Double R Blvd
Ste 200
Reno, NV 89521-4833
Phone
(775) 348-8800
Fax
(775) 348-8818
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN001025 NV Primary

Addresses

Primary practice location

9990 Double R Blvd
Ste 200
Reno, NV 89521-4833

Mailing address

5310 Kietzke LN
Ste 104
Reno, NV 89511-2043
Phone (775) 348-8800

Other identifiers 1

IdentifierTypeStateIssuer
11847415OtherCAQH

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
I20100129000396 NV Practitioner - Nurse Practitioner 0648313650 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN001025NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
James J Lynch M D LTD CurrentSince Jan 1, 2017 Accepting new patients
James J Lynch MD LTD CurrentSince Jan 1, 2017 Accepting new patients

Locations

1470 Medical Pkwy
Ste 220
Carson City, NV 89703

9990 Double R Blvd
Ste 200
Reno, NV 89521
Phone (753) 488-8008

5310 Kietzke Ln
Ste 104
Reno, NV 89511

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1275701591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 KIETZKE LN",
            "address_2": "STE 104",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112043",
            "telephone_number": "775-348-8800",
            "fax_number": "775-348-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9990 DOUBLE R BLVD",
            "address_2": "STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214833",
            "telephone_number": "775-348-8800",
            "fax_number": "775-348-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROSHINE",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11847415",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.