Active NPI
Virginia A Kitzke, LMT
- Specialist
- Reno, NV
National Provider Identifier
1801188099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- NV.NVMT # 4230
- Practice address
- 155 Lancaster Dr
Suite # 3a
Reno, NV 89506-1992 - Phone
- (775) 971-9783
- NPI assigned
- May 6, 2011
- Last updated
- Jun 26, 2013
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | NV.NVMT # 4230 | NV | Primary |
Addresses
Primary practice location
155 Lancaster Dr
Suite # 3a
Reno, NV 89506-1992
Mailing address
155 Lancaster Dr
Suite # 3a
Reno, NV 89506-2979
Phone (775) 971-9783
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4230 | Other | NV | NEVADA STATE BOARD OF MASSAGE THERAPISTS |
| 575014-09 | Other | NV | NATIONAL CERTIFICATION BOARD FOR THERAPUETIC MASSAGE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| NV.NVMT # 4230 | NV | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1801188099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 LANCASTER DR",
"address_2": "SUITE # 3A",
"city": "RENO",
"state": "NV",
"postal_code": "895062979",
"telephone_number": "775-971-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 LANCASTER DR",
"address_2": "SUITE # 3A",
"city": "RENO",
"state": "NV",
"postal_code": "895061992",
"telephone_number": "775-971-9783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITZKE",
"first_name": "VIRGINIA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-06",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NV",
"license": "NV.NVMT # 4230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA STATE BOARD OF MASSAGE THERAPISTS",
"identifier": "4230",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFICATION BOARD FOR THERAPUETIC MASSAGE",
"identifier": "575014-09",
"state": "NV"
}
],
"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 Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.