Individual provider Active NPI

Kylie Vizzusi

  • Social Worker
  • Carson City, NV
National Provider Identifier
1528615457
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7519-S Issued in NV
Practice address
775 Fleischmann Way
Carson City, NV 89703-2995
Phone
(775) 445-7350
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7519-S NV Primary

Addresses

Primary practice location

775 Fleischmann Way
Carson City, NV 89703-2995

Mailing address

775 Fleischmann Way
Carson City, NV 89703-2995
Phone (775) 445-7350

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201204001277 NV Practitioner - Clinical Social Worker 3678984127 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7519-SNVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Regional Healthcare CurrentSince May 6, 2024 Accepting new patients
CTH Physicians Clinic CurrentSince Dec 1, 2025 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince May 6, 2024 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Nov 1, 2020 Accepting new patients
Behavioral Health Solutions LLC Social Worker CurrentSince Nov 1, 2020 Accepting new patients
Carson Tahoe Physician Clinics CurrentSince May 6, 2024 Accepting new patients

Locations

775 Fleischmann Way
Fl 2
Carson City, NV 89703
Phone (775) 445-5632

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

775 Fleischmann Way
Carson City, NV 89703
Phone (775) 445-5632

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

901 Medical Center Dr
Ste 203
Dayton, NV 89403
Phone (775) 445-7630

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

2831 Saint Rose Pkwy
Ste 221
Henderson, NV 89052
Phone (702) 279-2230

10539 Professional Cir
Ste 200
Reno, NV 89521
Phone (775) 445-7026

Interoperability endpoints

  • Direct secure messaging: kylie.vizzusi.1@24259.direct.athenahealth.com

Organizations & group practices 6

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1528615457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 FLEISCHMANN WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897032995",
            "telephone_number": "775-445-7350"
        },
        {
            "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": "775-445-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZZUSI",
        "first_name": "KYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "7519-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.