Active NPI
Shannon K Rumble, APN
- Nurse Practitioner
- Reno, NV
National Provider Identifier
1518924554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN00872
- Practice address
- 6630 S McCarran Blvd
Suite A4
Reno, NV 89509-6158 - Phone
- (775) 828-2873
- Fax
- (775) 828-2889
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN00872 | NV | Primary |
Addresses
Primary practice location
6630 S McCarran Blvd
Suite A4
Reno, NV 89509-6158
Mailing address
6630 S McCarran Blvd
Suite A4
Reno, NV 89509-6158
Phone (775) 828-2873
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000507788 | Medicaid | NV | |
| 11580703 | Other | NV | CAQH |
Other names 1
- Mrs. Shannon K Leasure
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN00872 | NV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierraregionalspineinstistutejamesrrappaportmdphelpsckipmdpc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Specialist
- Reno, NV
- NPI 1609884972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1518924554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6630 S MCCARRAN BLVD",
"address_2": "SUITE A4",
"city": "RENO",
"state": "NV",
"postal_code": "895096158",
"telephone_number": "775-828-2873",
"fax_number": "775-828-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6630 S MCCARRAN BLVD",
"address_2": "SUITE A4",
"city": "RENO",
"state": "NV",
"postal_code": "895096158",
"telephone_number": "775-828-2873",
"fax_number": "775-828-2889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUMBLE",
"first_name": "SHANNON",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APN00872",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000507788",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11580703",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "LEASURE",
"middle_name": "K",
"prefix": "MRS.",
"credential": "APN",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.