Individual provider Active NPI

Andrea Danielle Pinedo-Johnson, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carson City, NV
National Provider Identifier
1548997109
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
818874 Issued in NV
Practice address
775 Fleischmann Way
Carson City, NV 89703-2995
Phone
(775) 445-7756
NPI assigned
Aug 3, 2022
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 818874 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) 445-7756

Other practice location 1

890 Mill St Ste 400
Reno, NV 89502-1562
Phone (702) 485-2100

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221202001030 NV Practitioner - Nurse Practitioner 6406225093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

890 Mill St
FL 4
Reno, NV 89502-1442
Phone (775) 538-6700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medtrans Behavioral Nevada Casal, PLLC CurrentSince Aug 18, 2022 Accepting new patients
Alliance Mental Health Specialists Suba Park Cheng PLLC CurrentSince Nov 21, 2023 Accepting new patients
Medtrans Reno Casal PLLC CurrentSince Aug 18, 2022 Accepting new patients

Locations

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

4270 S Decatur Blvd
Las Vegas, NV 89103
Phone (702) 485-2100

4270 S Decatur Blvd
Ste B6
Las Vegas, NV 89103
Phone (702) 485-2100

5412 Boulder Hwy
Las Vegas, NV 89122
Phone (702) 383-2406

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

890 Mill St
Fl 4
Reno, NV 89502

890 Mill St
Ste 300
Reno, NV 89502
Phone (775) 323-5566

890 Mill St
Ste 400
Reno, NV 89502
Phone (775) 505-4804

Organizations & group practices 3

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1548997109",
    "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": "775-445-7756"
        },
        {
            "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": "775-445-7756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 Mill St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021562",
            "country_code": "US",
            "telephone_number": "702-485-2100",
            "fax_number": "775-825-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINEDO-JOHNSON",
        "first_name": "ANDREA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "818874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.