Active NPI
Nick B Stevens, AA
- Mental Illness Community Based Residential Treatment Facility
- Sparks, NV
National Provider Identifier
1003055799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Practice address
- 741 Rancho Via Dr
Sparks, NV 89434-4051 - Phone
- (775) 223-9040
- NPI assigned
- Feb 19, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
741 Rancho Via Dr
Sparks, NV 89434-4051
Mailing address
6283 Chesterfield LN
Reno, NV 89523-1726
Phone (775) 223-9040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etxea Services | Community Based Residential Treatment Facility, Mental Illness | Past | Accepting new patients |
| Etxea Services LLC | Community Based Residential Treatment Facility, Mental Illness | Past | Accepting new patients |
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Sparks, NV
- NPI 1023244688
Community Based Residential Treatment Facility, Mental Illness
-
- Mental Illness Community Based Residential Treatment Facility
- Sparks, NV
- NPI 1851531339
Community Based Residential Treatment Facility, Mental Illness
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235001600000",
"number": "1003055799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6283 CHESTERFIELD LN",
"city": "RENO",
"state": "NV",
"postal_code": "895231726",
"telephone_number": "775-223-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 RANCHO VIA DR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894344051",
"telephone_number": "775-223-9040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "NICK",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "AA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-19",
"last_updated": "2009-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.