Individual provider Active NPI

Casey Alexis Dye, APN

  • Nurse Practitioner
  • Reno, NV
National Provider Identifier
1477790046
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN001059 Issued in NV
Practice address
6630 S McCarran Blvd
#4
Reno, NV 89509-6145
Phone
(775) 828-2873
Fax
(775) 828-2897
NPI assigned
Jan 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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 APN001059 NV Primary

Addresses

Primary practice location

6630 S McCarran Blvd
#4
Reno, NV 89509-6145

Mailing address

6630 S McCarran Blvd
#4
Reno, NV 89509-6145
Phone (775) 828-2873

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
I20090317000238 NV Practitioner - Nurse Practitioner 8820155930 Reassigns benefits to 1 organization
Practice locations: Carson City, NV

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN001059NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert G Berry Jr LTD CurrentSince Nov 1, 2015 Accepting new patients
Sierra Hospitalists LLC Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients

Locations

6630 S McCarran Blvd
Ste A3
Reno, NV 89509
Phone (775) 448-9422

6630 S McCarran Blvd
Ste 4
Reno, NV 89509
Phone (775) 828-2873

6630 S McCarran Blvd
Ste A4
Reno, NV 89509
Phone (775) 282-2873

Organizations & group practices 4

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": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1477790046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD",
            "address_2": "#4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096145",
            "telephone_number": "775-828-2873",
            "fax_number": "775-828-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 S MCCARRAN BLVD",
            "address_2": "#4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096145",
            "telephone_number": "775-828-2873",
            "fax_number": "775-828-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYE",
        "first_name": "CASEY",
        "middle_name": "ALEXIS",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-19",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN001059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.