Active NPI
Kasie Delaine Reynolds, RN, MS,CPNP (APN)
- Pediatric Nurse Practitioner
- Reno, NV
National Provider Identifier
1972708923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN000948
- Practice address
- 75 Pringle Way Ste 300
Reno, NV 89502-8425 - Phone
- (775) 982-5000
- Fax
- (775) 982-3900
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 625958 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN000948 | NV | Primary |
Addresses
Primary practice location
75 Pringle Way Ste 300
Reno, NV 89502-8425
Mailing address
1155 Mill St Ms M14
Reno, NV 89502-1576
Phone (775) 982-5262
Other practice location 1
3595 US Highway 50
Silver Springs, NV 89429-9613
Phone (775) 577-2117
Other practice location 2
560 E Williams Ave
Fallon, NV 89406-3031
Phone (775) 982-5000
Other practice location 3
1343 Newlands Dr W
Fernley, NV 89408
Phone (775) 982-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11934112 | Other | CAQH | |
| 1972708923 | Medicaid | NV |
Other names 1
- Kasie D Elam
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150617000106 | NV | Order and Referring Only - Nurse Practitioner | 4385725191 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 625958 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Services LLC | Past | Accepting new patients | |
| Community Care Services LLC | Past | Accepting new patients |
Interoperability endpoints
- kreynolds10880@direct.renown.org
- kreynolds@f257228c.micromddirect.com
Organizations & group practices 2
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.
-
dba Renown Medical Group - Behavioral Health
- Psychiatry Physician
- Reno, NV
- NPI 1932670478
-
dba Renown Oncology Wellness
- Obstetrics & Gynecology Physician
- Reno, NV
- NPI 1982088274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1972708923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 MILL ST MS M14",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-5262",
"fax_number": "775-982-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 PRINGLE WAY STE 300",
"city": "RENO",
"state": "NV",
"postal_code": "895028425",
"telephone_number": "775-982-5000",
"fax_number": "775-982-3900"
}
],
"practiceLocations": [
{
"address_1": "3595 US Highway 50",
"address_purpose": "LOCATION",
"city": "Silver Springs",
"state": "NV",
"postal_code": "894299613",
"country_code": "US",
"telephone_number": "775-577-2117",
"fax_number": "775-577-2769",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "560 E Williams Ave",
"address_purpose": "LOCATION",
"city": "Fallon",
"state": "NV",
"postal_code": "894063031",
"country_code": "US",
"telephone_number": "775-982-5000",
"fax_number": "775-982-2988",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1343 Newlands Dr W",
"address_purpose": "LOCATION",
"city": "Fernley",
"state": "NV",
"postal_code": "89408",
"country_code": "US",
"telephone_number": "775-982-5000",
"fax_number": "775-982-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "KASIE",
"middle_name": "DELAINE",
"name_prefix": "Mrs.",
"credential": "RN, MS,CPNP (APN)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "625958",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NV",
"license": "APRN000948",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11934112",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972708923",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KASIE",
"last_name": "ELAM",
"middle_name": "D",
"credential": "CPNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.