NPIMap

Organization Active NPI

Carson Tahoe Regional Healthcare

  • Psychiatric Hospital Unit
  • Carson City, NV
National Provider Identifier
1487789871
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
635HOS14 Issued in NV
Legal business name
CARSON TAHOE REGIONAL HEALTHCARE
Practice address
775 Fleischmann Way
Carson City, NV 89703-2995
Phone
(775) 445-8672
Fax
(775) 445-3200
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Katie Kucera
Title
Cheif Financial Officer
Phone
(775) 445-5543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 635HOS14 NV Primary

Addresses

Primary practice location

775 Fleischmann Way
Carson City, NV 89703-2995

Mailing address

PO Box 2168
1600 Medical Parkway
Carson City, NV 89702-2168
Phone (775) 445-8672

Other identifiers 1

IdentifierTypeStateIssuer
001113843MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080108000307 NV Part A Provider - Hospital 1759284862 Practice locations: Carson City, NV

Hospital certification: CCN 29S019

Legal name
CARSON TAHOE REGIONAL HEALTHCARE
Doing business as
CARSON TAHOE REGIONAL MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Mar 1, 2002 in NV
Enrollment address
775 Fleischmann Way
Carson City, NV 89703-2995
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Carson Tahoe Regional Healt9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elizabeth M Duffrin Individual Corporate Director Jan 1, 2020
Carson Tahoe Health System Organization, Carson City, NV Corporation, Non-profit Operational/Managerial Control Jan 1, 2013
Christina Sapien Individual W-2 Managing Employee Oct 1, 2018
Jeffrey Basa Individual Corporate Director Jan 1, 2020
Katie D Kucera Individual Corporate Officer Mar 15, 2022
Carson Tahoe Regional Healthcare Organization, Carson City, NV Non-profit Operational/Managerial Control Nov 12, 2007
Kevin D Halow Individual Corporate Director Jan 1, 2020
David J Strull Individual Corporate Director Jan 1, 2020
Mitchell Watson Individual Corporate OfficerChief Financial Officer Aug 1, 2019
Freeman Johnson Individual Corporate Director Jan 1, 2020
James Manning Individual Corporate Officer Jan 1, 2020
Michelle Joy Individual Corporate Officer Oct 1, 2018
W-2 Managing EmployeeVP-Chief Operating Officer Oct 1, 2018
Philip Keene O'Neill Individual Corporate Director Jan 1, 2020
Christine M Sansom Individual Corporate Director Jan 1, 2020
Gilbert Yanuck Individual Corporate Director Jan 1, 2020

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carson Tahoe Regional Medical CenterCarson City, NV, CCN 290019 Hospital Operational/Managerial Control Nov 12, 2007
Carson Tahoe Transitional Rehabilitation CenterCarson City, NV, CCN 295104 Skilled nursing facility 5% Or Greater Direct Ownership Interest (50%) Mar 1, 2019

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1487789871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "address_2": "1600 MEDICAL PARKWAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897022168",
            "telephone_number": "775-445-8672",
            "fax_number": "775-445-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 FLEISCHMANN WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897032995",
            "telephone_number": "775-445-8672",
            "fax_number": "775-445-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON TAHOE REGIONAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "KUCERA",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "775-445-5543"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NV",
            "license": "635HOS14",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001113843",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.