Battleborn Geriatrics PLLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

BATTLEBORN GERIATRICS PLLC

Practice address

1073 Dortmunder Dr
Sparks, NV 89441-5848

Phone

(775) 303-2377

NPI assigned

Aug 21, 2024

Last updated

Aug 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Blake Krek, AG-ANCP-BCNPI 1942912076

Title

Aprn/Owner

Phone

(775) 303-2377

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blake Krek, APRN

  • Acute Care Nurse Practitioner
  • Reno, NV
  • NPI 1942912076
  NPD Authorized official

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1740013184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 DORTMUNDER DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894415848",
            "telephone_number": "775-303-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 DORTMUNDER DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894415848",
            "telephone_number": "775-303-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATTLEBORN GERIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "KREK",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "APRN/OWNER",
        "authorized_official_telephone_number": "775-303-2377",
        "authorized_official_credential": "AG-ANCP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942076291",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shruti Basho, MD
• Thomas A.J. Basora, D.D.S.
• Trevor Basta, D.M.D.
• Yisel Pediatric Basurto
• Del M Bates III
• Kristen Elizabeth Baughman, APRN
• Gerard Bayonn
• Vijaya Veena Bayya, M.D.
• Bea Care Home LLC (Bs Caring Hands Care Home)
• Michelle C Bean, D.C.

• Primary Care Nurse Practitioner in Sparks, NV
• Providers in Sparks, NV by specialty
• Primary Care Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.