Individual provider Active NPI

Riley Henderson, APRN

  • Family Nurse Practitioner
  • Sparks, NV
National Provider Identifier
1811777089
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN872613 Issued in NV
Practice address
2244 Oddie Blvd
Sparks, NV 89431-7574
Phone
(775) 329-6300
NPI assigned
Oct 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN79600 NV
Family Nurse Practitioner 363LF0000X APRN872613 NV Primary

Addresses

Primary practice location

2244 Oddie Blvd
Sparks, NV 89431-7574

Mailing address

680 S Rock Blvd
Reno, NV 89502-4113
Phone (775) 329-6300

Other practice location 1

330 Crampton St
Reno, NV 89502-2480
Phone (775) 329-6300

Other practice location 2

3915 Neil Rd
Reno, NV 89502-6808
Phone (775) 329-6300

Other practice location 3

5055 Sun Valley Blvd Ste 100
Sun Valley, NV 89433-8296
Phone (775) 329-6300

Other practice location 4

1055 S Wells Ave
Reno, NV 89502-2550
Phone (775) 329-6300

Other practice location 5

680 S Rock Blvd
Reno, NV 89502-4113
Phone (775) 329-6300

Other practice location 6

280 Vista Knoll Pkwy Ste 107
Reno, NV 89506-5649
Phone (775) 329-6300

Other names 1

  • Riley O'Toole Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240130001602 NV Practitioner - Nurse Practitioner 8527411255 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN79600NVMDRegistered Nurse
APRN872613NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Alliance CurrentSince Jan 8, 2024 Accepting new patients
Community Health Alliance CurrentSince Jan 8, 2024 Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients

Locations

330 Crampton St
Reno, NV 89502
Phone (775) 336-3700

1055 S Wells Ave
Reno, NV 89502
Phone (775) 829-6300

280 Vista Knoll Pkwy
Ste 107
Reno, NV 89506
Phone (775) 250-0607

3915 Neil Rd
Reno, NV 89502
Phone (775) 870-4333

1055 S Wells Ave
#120
Reno, NV 89502
Phone (775) 336-3021

680 S Rock Blvd
Reno, NV 89502
Phone (775) 336-3003

2244 Oddie Blvd
Sparks, NV 89431
Phone (775) 997-7300

5055 Sun Valley Blvd
Ste 100
Sun Valley, NV 89433
Phone (775) 870-4334

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": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1811777089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S ROCK BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024113",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 ODDIE BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894317574",
            "telephone_number": "775-329-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Crampton St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895022480",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3915 Neil Rd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895026808",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5055 Sun Valley Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sun Valley",
            "state": "NV",
            "postal_code": "894338296",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 S Wells Ave",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895022550",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 S Rock Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895024113",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 Vista Knoll Pkwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895065649",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "RILEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN79600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN872613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RILEY",
            "last_name": "O'TOOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.