Individual provider Active NPI

Kristin Adele Hestdalen, MD

  • Child & Adolescent Psychiatry Physician
  • Reno, NV
National Provider Identifier
1972642650
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
10215 Issued in NV
Practice address
85 Kirman Ave Ste 200
Reno, NV 89502-1340
Phone
(286) 277-5982
Fax
(775) 982-5496
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 10215 NV Primary

Addresses

Primary practice location

85 Kirman Ave Ste 200
Reno, NV 89502-1340

Mailing address

4126 Technology Way
Suite 102
Carson City, NV 89706-2009
Phone (775) 687-7573

Other practice location 1

1665 Old Hot Springs Rd
Suite 150
Carson City, NV 89706-0646
Phone (775) 657-4195

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000622 NV Practitioner - Psychiatry 6608836978 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatry CurrentSince Nov 20, 2025 Accepting new patients
Psychplus Medical Associates, PLLC Psychiatry CurrentSince Nov 20, 2025 Accepting new patients
Reno Psychiatric Associates PLLC Psychiatry PastSince Sep 1, 2019 Accepting new patients

Locations

2500 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 341-1436

2870 S Maryland Pkwy
Ste 230
Las Vegas, NV 89109
Phone (702) 330-0530

639 Isbell Rd
Ste 380
Reno, NV 89509
Phone (775) 348-5800

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 3

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1972642650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 TECHNOLOGY WAY",
            "address_2": "SUITE 102",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062009",
            "telephone_number": "775-687-7573",
            "fax_number": "775-687-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 KIRMAN AVE STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021340",
            "telephone_number": "286-277-5982",
            "fax_number": "775-982-5496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1665 Old Hot Springs Rd",
            "address_2": "SUITE 150",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897060646",
            "country_code": "US",
            "telephone_number": "775-657-4195",
            "fax_number": "775-687-5103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESTDALEN",
        "first_name": "KRISTIN",
        "middle_name": "ADELE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NV",
            "license": "10215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.