Active NPI
Douglas Alan Hildebrand
- Recreational Therapist Assistant
- Reno, NV
National Provider Identifier
1497322010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreational Therapist Assistant
- License
- 0000
- Practice address
- VA Seirra Nevada Health Care System
975 Kirman Ave
Reno, NV 89502 - Phone
- (775) 785-7191
- NPI assigned
- Jun 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreational Therapist Assistant | 226000000X | 0000 | NV | Primary |
Addresses
Primary practice location
VA Seirra Nevada Health Care System
975 Kirman Ave
Reno, NV 89502
Mailing address
VA Seirra Nevada Health Care System
975 Kirman Ave
Reno, NV 89502
Phone (775) 785-7191
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1497322010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VA SEIRRA NEVADA HEALTH CARE SYSTEM",
"address_2": "975 KIRMAN AVE",
"city": "RENO",
"state": "NV",
"postal_code": "89502",
"telephone_number": "775-785-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA SEIRRA NEVADA HEALTH CARE SYSTEM",
"address_2": "975 KIRMAN AVE",
"city": "RENO",
"state": "NV",
"postal_code": "89502",
"telephone_number": "775-785-7191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDEBRAND",
"first_name": "DOUGLAS",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "226000000X",
"taxonomy_group": "",
"desc": "Recreational Therapist Assistant",
"state": "NV",
"license": "0000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.