Individual provider Active NPI

Seana Rae Wishart-NG, APRN

  • Family Nurse Practitioner
  • Sparks, NV
National Provider Identifier
1609494285
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
832359 Issued in NV
Practice address
2244 Oddie Blvd
Sparks, NV 89431-7574
Phone
(775) 329-6300
NPI assigned
Jul 9, 2020
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 832359 NV Primary

Addresses

Primary practice location

2244 Oddie Blvd
Sparks, NV 89431-7574

Mailing address

1140 Johnson PL
Reno, NV 89509-2378
Phone (775) 742-6533

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
I20210913002442 NV Practitioner - Nurse Practitioner 0941606156 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Lyon Health Center IncGroup PAC ID 0648178533, shared by 6 NPIs, 20 clinicians

Practice addresses (Care Compare)

213 S Whitacre St
Yerington, NV 89447-2561
Phone (775) 463-2301

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
832359NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ali Nairizi MD PC CurrentSince Jul 1, 2022 Accepting new patients
Ali Nairizi MD PC CurrentSince Jul 1, 2022 Accepting new patients
South Lyon Health Center, Inc. CurrentSince Jun 1, 2024 Accepting new patients
South Lyon Health Center, Inc. Current Accepting new patients
South Lyon Health Center, Inc. CurrentSince Jun 1, 2024 Accepting new patients
South Lyon Health Center, Inc. Current Accepting new patients
CTH Physicians Clinic Past Accepting new patients
True North Health Navigation LLC Past Accepting new patients

Locations

1055 S Wells Ave
Reno, NV 89502
Phone (775) 829-6300

5500 Reno Corporate Dr
Ste 300
Reno, NV 89511
Phone (714) 396-6128

6522 S McCarran Blvd
Ste A
Reno, NV 89509
Phone (775) 384-1127

2244 Oddie Blvd
Sparks, NV 89431
Phone (775) 997-7300

213 S Whitacre St
Yerington, NV 89447
Phone (775) 463-2301

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1609494285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 JOHNSON PL",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092378",
            "telephone_number": "775-742-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 ODDIE BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894317574",
            "telephone_number": "775-329-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHART-NG",
        "first_name": "SEANA",
        "middle_name": "RAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "832359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.