Individual provider Active NPI

Setare Taabodi-Wilkoff, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1346917655
Registry record updated Jun 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
842496 Issued in NV
Practice address
5150 Mae Anne Ave Ste 405
Reno, NV 89523-1859
Phone
(775) 442-4075
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2023

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 842496 NV Primary

Addresses

Primary practice location

5150 Mae Anne Ave Ste 405
Reno, NV 89523-1859

Mailing address

5150 Mae Anne Ave Ste 405
Reno, NV 89523-1859
Phone (775) 442-4075

Other names 1

  • Setare Taabodi Former name

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

State licenses

LicenseStateTypeSpecialty
842496NVMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685750400000",
    "number": "1346917655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 MAE ANNE AVE STE 405",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895231859",
            "telephone_number": "775-442-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 MAE ANNE AVE STE 405",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895231859",
            "telephone_number": "775-442-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAABODI-WILKOFF",
        "first_name": "SETARE",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2023-06-03",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "842496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SETARE",
            "last_name": "TAABODI",
            "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 Jun 3, 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.