Individual provider Active NPI

Shirin Nazarian, FNP

  • Nurse Practitioner
  • Reno, NV
National Provider Identifier
1497405492
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
852461 Issued in NV
Practice address
7629 Devonshire LN
Reno, NV 89511-2017
Phone
(775) 870-2449
NPI assigned
Mar 24, 2022
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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 852461 NV Primary

Addresses

Primary practice location

7629 Devonshire LN
Reno, NV 89511-2017

Mailing address

7629 Devonshire LN
Reno, NV 89511-2017
Phone (775) 870-2449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251201000698 TX Practitioner - Nurse Practitioner 0345733283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reno Sparks Indian ColonyGroup PAC ID 6507761897, 17 clinicians

Practice addresses (Care Compare)

1715 Kuenzli St
Reno, NV 89502-1117
Phone (775) 329-5162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
852461NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Sparks Indian Colony CurrentSince Jun 26, 2025 Accepting new patients

Locations

1715 Kuenzli St
Reno, NV 89502
Phone (775) 329-5162

Interoperability endpoints

  • Direct secure messaging: shirin.nazarian.p1@direct.rsthc.nextgenshare.com
  • Direct secure messaging: shirin.nazarian@344835852861444.direct.elationemr.com

Organizations & group practices 1

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": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1497405492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 DEVONSHIRE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112017",
            "telephone_number": "775-870-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 DEVONSHIRE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112017",
            "telephone_number": "775-870-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIAN",
        "first_name": "SHIRIN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "852461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.