Individual provider Active NPI

Diane Heindl Smith, APRN

  • Dermatology Physician
  • Reno, NV
National Provider Identifier
1316139413
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
APN000730 Issued in NV
Practice address
10479 Double R Blvd
Reno, NV 89521-8905
Phone
(775) 850-8600
Fax
(775) 850-8665
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X APN000730 NV Primary

Addresses

Primary practice location

10479 Double R Blvd
Reno, NV 89521-8905

Mailing address

10479 Double R Blvd
Reno, NV 89521-8905
Phone (775) 850-8600

Other names 1

  • Diane Margaret Heindl Former name

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
I20071127000779 NV Practitioner - Nurse Practitioner 8426147554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10479 Double R Blvd
Reno, NV 89521-8905
Phone (775) 850-8600

3640 Warren Way
Reno, NV 89509-5240
Phone (775) 324-0699

640 W Moana LN
Reno, NV 89509-4903
Phone (775) 324-0699

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN000730NVMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain West Derm-Blackhart, PLLC Dermatology CurrentSince Sep 1, 2018 Accepting new patients
Mountain West Derm - Blackhart PLLC CurrentSince Sep 1, 2018 Accepting new patients
Skin Cancer and Dermatology Institute Current Accepting new patients
Robert J Riley LTD Dermatology Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Dermatology Associates,P.C. Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

3640 Warren Way
Ste 100
Reno, NV 89509

10479 Double R Blvd
Reno, NV 89521
Phone (775) 850-8600

640 W Moana Ln
Reno, NV 89509
Phone (775) 882-8777

Interoperability endpoints

  • Direct secure messaging: dsmith1@skincancerderm.emadirect.md

Organizations & group practices 10

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.

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": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1316139413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10479 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218905",
            "telephone_number": "775-850-8600",
            "fax_number": "775-850-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10479 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218905",
            "telephone_number": "775-850-8600",
            "fax_number": "775-850-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIANE",
        "middle_name": "HEINDL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "APN000730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "HEINDL",
            "middle_name": "MARGARET",
            "credential": "RN APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.