Individual provider Active NPI

Tequila Marie Rogers, FNP-BC

  • Family Nurse Practitioner
  • Sparks, NV
National Provider Identifier
1851171789
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
830041 Issued in NV
Practice address
438 Pyramid Way Ste B
Sparks, NV 89431-5053
Phone
(304) 573-1992
Fax
(775) 547-2050
NPI assigned
Sep 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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 830041 NV Primary

Addresses

Primary practice location

438 Pyramid Way Ste B
Sparks, NV 89431-5053

Mailing address

438 Pyramid Way Ste B
Sparks, NV 89431-5053
Phone (775) 241-8153

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
I20240111001535 NV Practitioner - Nurse Practitioner 9830540137 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yang Medical Services PLLCGroup PAC ID 7315275773, 37 clinicians

Practice addresses (Care Compare)

1181 Grier Dr
Suite C
Las Vegas, NV 89119-3746
Phone (888) 888-9930

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
830041NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tequila'S Whole Health, LLC Family CurrentSince Nov 8, 2025 Accepting new patients
Pinnacle Medical Group Hicks PC CurrentSince Oct 1, 2025 Accepting new patients
Homebase Care Casal PLLC CurrentSince Nov 28, 2023 Accepting new patients
Medtrans Medical Nevada Casal PLLC CurrentSince Nov 28, 2023 Accepting new patients
Medtrans Behavioral Nevada Casal, PLLC CurrentSince Mar 5, 2024 Accepting new patients

Locations

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

699 Sierra Rose Dr
Unit Sab
Reno, NV 89511

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

4875 Kietzke Ln
Ste 200A22
Reno, NV 89509

699 Sierra Rose Dr
Ste A
Reno, NV 89511
Phone (775) 689-3737

890 Mill St
Ste 300
Reno, NV 89502
Phone (775) 323-5566

6275 Sharlands Ave
Ste B15
Reno, NV 89523

5975 S Los Altos Pkwy
Sparks, NV 89436

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEIHDD/Endpoint/BEIHDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BEIHDD

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": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1851171789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 PYRAMID WAY STE B",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894315053",
            "telephone_number": "775-241-8153",
            "fax_number": "775-800-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 PYRAMID WAY STE B",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894315053",
            "telephone_number": "304-573-1992",
            "fax_number": "775-547-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "TEQUILA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "830041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.