Individual provider Active NPI

David Vega, APRN

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1821608266
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
832266 Issued in NV
Practice address
699 Sierra Rose Dr
Reno, NV 89511-2369
Phone
(775) 636-3850
NPI assigned
Jul 31, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 832266 NV Primary

Addresses

Primary practice location

699 Sierra Rose Dr
Reno, NV 89511-2369

Mailing address

9245 Peninsula CT
Reno, NV 89506-2244
Phone (775) 636-3850

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
I20210831003235 NV Practitioner - Nurse Practitioner 4789080664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vega Healthcare PLLCGroup PAC ID 4486060555, 5 clinicians

Practice addresses (Care Compare)

3773 Baker LN
Suite 6
Reno, NV 89509-5490
Phone (775) 799-6700

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
832266NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vega Healthcare PLLC CurrentSince May 27, 2021 Accepting new patients

Locations

3773 Baker Ln
Ste 6
Reno, NV 89509
Phone (775) 799-6700

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1821608266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 PENINSULA CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895062244",
            "telephone_number": "775-636-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112369",
            "telephone_number": "775-636-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "DAVID",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "832266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.