Active NPI
John R Lemieux, M.D.
- Family Medicine Physician
- Reno, NV
National Provider Identifier
1013946532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3602
- Practice address
- 6630 S. McCarran Blvd
Bldng B Suite 16
Reno, NV 89509-6145 - Phone
- (775) 323-5116
- Fax
- (775) 323-7140
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3602 | NV | Primary |
Addresses
Primary practice location
6630 S. McCarran Blvd
Bldng B Suite 16
Reno, NV 89509-6145
Mailing address
6630 S. McCarran Blvd
Bldng B Suite 16
Reno, NV 89509-6145
Phone (775) 323-5116
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010000822 | Other | RR MEDICARE | |
| 002016151 | Medicaid | NV |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3602 | NV | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1013946532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6630 S. MCCARRAN BLVD",
"address_2": "BLDNG B SUITE 16",
"city": "RENO",
"state": "NV",
"postal_code": "895096145",
"telephone_number": "775-323-5116",
"fax_number": "775-323-7140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6630 S. MCCARRAN BLVD",
"address_2": "BLDNG B SUITE 16",
"city": "RENO",
"state": "NV",
"postal_code": "895096145",
"telephone_number": "775-323-5116",
"fax_number": "775-323-7140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMIEUX",
"first_name": "JOHN",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "3602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "010000822",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002016151",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.