Individual provider Active NPI

Sarah Marissa Bailey

  • Nurse Practitioner
  • Reno, NV
National Provider Identifier
1720818610
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
879305 Issued in NV
Practice address
10785 Double R Blvd Ste 101
Reno, NV 89521-8956
Phone
(775) 369-2106
NPI assigned
Aug 5, 2024
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 879305 NV Primary
Family Nurse Practitioner 363LF0000X 879305 NV

Addresses

Primary practice location

10785 Double R Blvd Ste 101
Reno, NV 89521-8956

Mailing address

4450 Lynnfield Way
Reno, NV 89519-0928
Phone (702) 408-8939

Other practice location 1

4450 Lynnfield Way, Reno NV 89
Reno, NV 89519
Phone (702) 408-8939

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

State licenses

LicenseStateTypeSpecialty
879305NVMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1720818610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 LYNNFIELD WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190928",
            "telephone_number": "702-408-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10785 DOUBLE R BLVD STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218956",
            "telephone_number": "775-369-2106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4450 Lynnfield Way, Reno NV 89",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "89519",
            "country_code": "US",
            "telephone_number": "702-408-8939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "SARAH",
        "middle_name": "MARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "879305",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "879305",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.