Active NPI
Aleah Kristin Hartung, DMSC, PA-C
- Physician Assistant
- Reno, NV
National Provider Identifier
1649640814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1641
- Practice address
- 7025 Longley LN Ste 60
Reno, NV 89511-1239 - Phone
- (775) 453-6072
- NPI assigned
- Sep 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 52441 | CA | |
| Physician Assistant | 363A00000X | PA1641 | NV | Primary |
Addresses
Primary practice location
7025 Longley LN Ste 60
Reno, NV 89511-1239
Mailing address
960 Caughlin Xing
#100
Reno, NV 89519-0611
Phone (775) 348-9798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649640814 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52441 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1649640814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 CAUGHLIN XING",
"address_2": "#100",
"city": "RENO",
"state": "NV",
"postal_code": "895190611",
"telephone_number": "775-348-9798",
"fax_number": "775-348-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7025 LONGLEY LN STE 60",
"city": "RENO",
"state": "NV",
"postal_code": "895111239",
"telephone_number": "775-453-6072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTUNG",
"first_name": "ALEAH",
"middle_name": "KRISTIN",
"credential": "DMSC, PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-30",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "52441",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649640814",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.