Individual provider Active NPI

Lisa Kathleen Hammargren-Kuykendall, APN

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1598051211
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN001297 Issued in NV
Practice address
10381 Double R Blvd
Reno, NV 89521-5991
Phone
(775) 348-8800
Fax
(833) 687-1419
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN42746 NV
Family Nurse Practitioner 363LF0000X APN001297 NV Primary

Addresses

Primary practice location

10381 Double R Blvd
Reno, NV 89521-5991

Mailing address

5310 Kietzke LN Ste 104
Reno, NV 89511-2043
Phone (775) 348-8800

Other practice location 1

780 Vista Blvd Ste 100
Sparks, NV 89434-6677
Phone (775) 348-8800

Other practice location 2

973 Mica Dr Ste 201
Carson City, NV 89705-7258
Phone (775) 348-8800

Other identifiers 2

IdentifierTypeStateIssuer
12409177OtherCAQH
1598051211MedicaidNV

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
I20110830000693 NV Practitioner - Nurse Practitioner 8123298106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oakland College of Medicine and Surgery, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James J Lynch M D LTDGroup PAC ID 9133188626, 81 clinicians

Practice addresses (Care Compare)

10381 Double R Blvd
Reno, NV 89521-5991
Phone (775) 348-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN001297NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Next Generation Strategies CurrentSince Dec 16, 2024 Accepting new patients
Saint Marys Medical Group Inc. Current Accepting new patients
James J Lynch MD LTD CurrentSince May 8, 2023 Accepting new patients
James J Lynch M D LTD CurrentSince May 8, 2023 Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Humboldt General Hospital Pharmacy Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

1470 Medical Pkwy
Ste 220
Carson City, NV 89703

973 Mica Dr
Ste 201
Carson City, NV 89705
Phone (702) 884-5470

9990 Double R Blvd
Ste 200
Reno, NV 89521
Phone (753) 488-8008

645 N Arlington Ave
Ste 655
Reno, NV 89503
Phone (775) 333-5555

5310 Kietzke Ln
Ste 104
Reno, NV 89511

10381 Double R Blvd
Reno, NV 89521
Phone (775) 322-1200

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

18653 Wedge Pkwy
Ste 300
Reno, NV 89511
Phone (775) 770-7210

5401 Longley Ln
Ste 34
Reno, NV 89511
Phone (775) 453-0133

780 Vista Blvd
Ste 100
Sparks, NV 89434
Phone (753) 348-8800

2385 E Prater Way
Ste 204
Sparks, NV 89434
Phone (775) 845-8650

Interoperability endpoints

  • Direct secure messaging: lisa.hammargren-kuykendall.1@22724.direct.athenahealth.com
  • Direct secure messaging: lisa.jonkey.p1@direct.smmg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1598051211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 KIETZKE LN STE 104",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112043",
            "telephone_number": "775-348-8800",
            "fax_number": "833-687-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10381 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215991",
            "telephone_number": "775-348-8800",
            "fax_number": "833-687-1419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Vista Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894346677",
            "country_code": "US",
            "telephone_number": "775-348-8800",
            "fax_number": "833-687-1419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "973 Mica Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897057258",
            "country_code": "US",
            "telephone_number": "775-348-8800",
            "fax_number": "833-687-1419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMARGREN-KUYKENDALL",
        "first_name": "LISA",
        "middle_name": "KATHLEEN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN42746",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12409177",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598051211",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.