Individual provider Active NPI

Genevie Kneir

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Rosa, CA
National Provider Identifier
1760922017
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95023240 Issued in CA
Practice address
480 Tesconi Cir Ste B
Santa Rosa, CA 95401-4691
Phone
(707) 206-7268
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN76398 NV
Nurse Practitioner 363L00000X 002777 NV
Family Nurse Practitioner 363LF0000X 95023240 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95023240 CA Primary

Addresses

Primary practice location

480 Tesconi Cir Ste B
Santa Rosa, CA 95401-4691

Mailing address

3035 S Maryland Pkwy # 110
Las Vegas, NV 89109-2202
Phone (702) 857-8800

Other practice location 1

3035 S Maryland Pkwy # 110
Las Vegas, NV 89109-2202
Phone (702) 857-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180123000009 NV Practitioner - Nurse Practitioner 1951660810 Reassigns benefits to 4 organizations
I20221227002433 CA Practitioner - Nurse Practitioner 1951660810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Nevada School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deepa Hasija MDGroup PAC ID 6901183284, 8 clinicians

Practice addresses (Care Compare)

1287 Fulton Rd
Santa Rosa, CA 95401-4923
Phone (707) 780-2140

3247 S Maryland Pkwy
Las Vegas, NV 89109-2412
Phone (702) 776-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN76398NVMDRegistered Nurse
002777NVMDNurse Practitioner
95023240CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Medical & Behavioral Center Inc CurrentSince Mar 6, 2021 Accepting new patients
Siyan Clinical Corporation CurrentSince Aug 20, 2022 Accepting new patients
Vegas Valley Primary Care CurrentSince Sep 16, 2019 Accepting new patients
Zion Medical Group LLC CurrentSince Feb 23, 2018 Accepting new patients
Deepa Hasija MD CurrentSince Jan 10, 2018 Accepting new patients
Maria K Nwokikemd Face PC PastSince Mar 6, 2021 Accepting new patients

Locations

1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031

480 Tesconi Cir
Ste B
Santa Rosa, CA 95401
Phone (707) 206-7268

7465 W Lake Mead Blvd
Ste 100
Las Vegas, NV 89128
Phone (702) 560-4900

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

7465 W Lake Mead Blvd
Ste E100
Las Vegas, NV 89128

3247 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 776-3500

4045 Spencer St
Ste 116
Las Vegas, NV 89119
Phone (702) 780-6200

5105 Camino Al Norte
Ste 100
North Las Vegas, NV 89031
Phone (702) 750-2438

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1760922017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 S MARYLAND PKWY # 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092202",
            "telephone_number": "702-857-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 TESCONI CIR STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014691",
            "telephone_number": "707-206-7268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3035 S Maryland Pkwy # 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891092202",
            "country_code": "US",
            "telephone_number": "702-857-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNEIR",
        "first_name": "GENEVIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN76398",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "002777",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023240",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95023240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.