Individual provider Active NPI

Annaleaz De la Torre-Fennell, RN

  • Psychiatric/Mental Health Registered Nurse
  • Carson City, NV
National Provider Identifier
1760163646
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
849484 Issued in NV
Practice address
1665 Old Hot Springs Rd Ste 150
Carson City, NV 89706-0668
Phone
(775) 687-0870
NPI assigned
Jul 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 849484 NV Primary

Addresses

Primary practice location

1665 Old Hot Springs Rd Ste 150
Carson City, NV 89706-0668

Mailing address

1665 Old Hot Springs Rd Ste 150
Carson City, NV 89706-0668

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

LicenseStateTypeSpecialty
849484NVMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1760163646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 OLD HOT SPRINGS RD STE 150",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 OLD HOT SPRINGS RD STE 150",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060668",
            "telephone_number": "775-687-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA TORRE-FENNELL",
        "first_name": "ANNALEAZ",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NV",
            "license": "849484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.