Individual provider Active NPI

Marina Lopez

  • Nurse Practitioner
  • Carson City, NV
National Provider Identifier
1629893557
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
810285 Issued in NV
Practice address
3050 N Ormsby Blvd
Carson City, NV 89703-8378
Phone
(775) 753-7626
Fax
(775) 841-4660
NPI assigned
Nov 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 810285 NV Primary

Addresses

Primary practice location

3050 N Ormsby Blvd
Carson City, NV 89703-8378

Mailing address

3050 N Ormsby Blvd
Carson City, NV 89703-8378

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
I20250926001881 NV Practitioner - Nurse Practitioner 0547790206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gad 3 LLCGroup PAC ID 2062943038, 7 clinicians

Practice addresses (Care Compare)

1950 Baring Blvd
Sparks, NV 89434-6735
Phone (385) 454-5027

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gad 3 LLC CurrentSince Sep 8, 2025 Accepting new patients

Locations

1950 Baring Blvd
Sparks, NV 89434
Phone (385) 454-5027

13894 S Bangerter Pkwy
Ste 200
Draper, UT 84020
Phone (208) 996-3519

3401 N Thanksgiving Way
Ste 190
Lehi, UT 84048
Phone (385) 454-5027

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

Hospital & facility affiliations 3

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": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1629893557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 N ORMSBY BLVD",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038378",
            "fax_number": "775-841-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 N ORMSBY BLVD",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038378",
            "telephone_number": "775-753-7626",
            "fax_number": "775-841-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "810285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.