Alyssa Charlene Vega Antiado, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

816947 Issued in NV

Practice address

3650 Mayberry Dr Ste 102
Reno, NV 89509-2131

Phone

(775) 881-8189

Fax

(775) 964-6937

NPI assigned

Feb 25, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Simple Care, LLC

  • Family Nurse Practitioner
  • Reno, NV
  • NPI 1184465874
  NPD

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1841097136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 GREY OWL DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894369351",
            "telephone_number": "808-283-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 MAYBERRY DR STE 102",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092131",
            "telephone_number": "775-881-8189",
            "fax_number": "775-964-6937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Willow St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021304",
            "country_code": "US",
            "telephone_number": "775-881-8189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTIADO",
        "first_name": "ALYSSA CHARLENE",
        "middle_name": "VEGA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "816947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annjo'S Home Health Care Inc
• Annjo'S Home Health Care LLC
• Rachel Jayne Ansley, APRN
• Vanessa Antelo
• Ambert Anthony
• Antoine Periodontics, PC
• Nathan Antoine, D.M.D.
• Constance V Antone-Knoll, M.D.
• Trina Leanne Antonelli, CRNA
• David Antonuccio, P.H.D.

• Primary Care Nurse Practitioner in Reno, NV
• Providers in Reno, NV by specialty
• Primary Care Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.