Tahoe Truckee Advanced Psychiatric Nursing a Professional Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TAHOE TRUCKEE ADVANCED PSYCHIATRIC NURSING A PROFESSIONAL CORPORATION

Practice address

10368 Donner Pass Rd
Truckee, CA 96161-0427

Phone

(775) 298-1118

NPI assigned

Apr 15, 2024

Last updated

Jul 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katina Varzos, DNP, PMHNP-BCNPI 1932126398

Title

Provider

Phone

(203) 314-6075

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katina E Varzos, CNM, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Guilford, CT
  • NPI 1932126398
  Authorized official Same address or phone
• Jonathan Andrew Lowe, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Truckee, CA
  • NPI 1114199304
  NPD

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1366296600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 SIERRA DR E",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961615050",
            "telephone_number": "203-314-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10368 DONNER PASS RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610427",
            "telephone_number": "775-298-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOE TRUCKEE ADVANCED PSYCHIATRIC NURSING A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "VARZOS",
        "authorized_official_first_name": "KATINA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "203-314-6075",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahoe Forest Hospital District
• Tahoe Forest Hospital District
• Tahoe Forest Hospital District
• Tahoe Oral Surgery
• Tahoe Sierra Eye & Optical, a Medical Corporation
• Tahoe Truckee Unified School District
• Yuko Takizawa, MA, AMFT
• Ayana Taylor
• Betsy Taylor, R.D.
• Peter Juhani Taylor, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Truckee, CA
• Providers in Truckee, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.