Active NPI
Edita Gestoso, RN
- Assisted Living Facility
- Sparks, NV
National Provider Identifier
1699148833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 5747AGC-9
- Practice address
- 2612 Wabash Cir
Sparks, NV 89434-8848 - Phone
- (775) 870-9312
- Fax
- (775) 870-1340
- NPI assigned
- Nov 10, 2015
- Last updated
- Nov 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 5747AGC-9 | NV | Primary |
Addresses
Primary practice location
2612 Wabash Cir
Sparks, NV 89434-8848
Mailing address
2612 Wabash Cir
Sparks, NV 89434-8848
Phone (775) 870-9312
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5747AGC-9 | NV | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1699148833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2612 WABASH CIR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894348848",
"telephone_number": "775-870-9312",
"fax_number": "775-870-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2612 WABASH CIR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894348848",
"telephone_number": "775-870-9312",
"fax_number": "775-870-1340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GESTOSO",
"first_name": "EDITA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-10",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NV",
"license": "5747AGC-9",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.