Individual provider Active NPI

Andraya Ann Hitchner, CNM

  • Women's Health Nurse Practitioner
  • Reno, NV
National Provider Identifier
1356806822
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
865253 Issued in NV
Practice address
975 Ryland St Ste 105
Reno, NV 89502-1668
Phone
(775) 982-5640
Fax
(775) 982-5641
NPI assigned
Feb 8, 2019
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 865253 NV Primary
Midwife 176B00000X 143559 MT

Addresses

Primary practice location

975 Ryland St Ste 105
Reno, NV 89502-1668

Mailing address

1155 Mill St # Msm14
Reno, NV 89502-1576
Phone (775) 982-5262

Other names 1

  • Andraya Ann Somerville Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220225001129 WA Practitioner - Certified Nurse Midwife (CNM) 5496188633 Reassigns benefits to 1 organization
I20230323002872 NV Practitioner - Certified Nurse Midwife (CNM) 5496188633 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
865253NVMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Jan 24, 2024 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Feb 14, 2022 Accepting new patients
Renown Transitional Care Services CurrentSince Jan 24, 2024 Accepting new patients
Community Care Services LLC Current Accepting new patients
Community Care Services LLC CurrentSince Jan 24, 2024 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Feb 14, 2022 Accepting new patients
OB-GYN Associates LTD CurrentSince Mar 6, 2023 Accepting new patients

Locations

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
#14
Reno, NV 89502

635 Innovation Dr
Unit 300
Reno, NV 89511
Phone (775) 329-6241

645 N Arlington Ave
Ste 400
Reno, NV 89503
Phone (775) 329-6241

901 E 2nd St
Ste 300
Reno, NV 89502
Phone (775) 982-5640

975 Ryland St
Ste 105
Reno, NV 89502
Phone (775) 982-5640

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

Interoperability endpoints

  • Direct secure messaging: ahitchner202768@direct.renown.org

Organizations & group practices 7

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1356806822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MSM14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 RYLAND ST STE 105",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021668",
            "telephone_number": "775-982-5640",
            "fax_number": "775-982-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITCHNER",
        "first_name": "ANDRAYA",
        "middle_name": "ANN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NV",
            "license": "865253",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MT",
            "license": "143559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDRAYA",
            "last_name": "SOMERVILLE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.