SAGEBRUSH PSYCHIATRY PLLC NPI 1982360137

NPI Information

  • NPI: 1982360137
  • Provider Name: SAGEBRUSH PSYCHIATRY, PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • CLIA Number: 29D2293279
  • Address: 5470 KIETZKE LN STE 300
    RENO, NV
    ZIP 89511
  • Phone: (775) 410-0189

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NPI Details

SAGEBRUSH PSYCHIATRY, PLLC is a psychiatric/mental health nurse practitioner in Reno, NV. SAGEBRUSH PSYCHIATRY, PLLC NPI is 1982360137. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5470 KIETZKE LN STE 300
RENO, NV
ZIP 89511-099
Phone: (775) 410-0189
Fax: (775) 339-0105

The provider's authorized official is Jeffrey Wright Bayless .
The authorized official title is Founder and has the following contact phone number (512) 436-5841.

The CLIA number assigned to this NPI record is 29D2293279 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2021 and was last updated on 11/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1247220OTHERARIZONAAPRN LICENSE
2187410OTHERALASKAAPRN LICENSE
3829036OTHERNEVADAAPRN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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