Healthcare Provider Details

I. General information

NPI: 1700174802
Provider Name (Legal Business Name): KRISTEN ELIZABETH BAUGHMAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN ELIZABETH BASSETT OR RICHARDSON

II. Dates (important events)

Enumeration Date: 07/11/2011
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 SULLIVAN LN
SPARKS NV
89431-2815
US

IV. Provider business mailing address

480 GALLETTI WAY
SPARKS NV
89431-5564
US

V. Phone/Fax

Practice location:
  • Phone: 775-460-2131
  • Fax: 775-234-2904
Mailing address:
  • Phone: 775-688-3321
  • Fax: 775-688-3306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN001298
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN001298
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: