Active NPI
Alexis Marie Phillips, APRN-CNP
- Nurse Practitioner
- Reno, NV
National Provider Identifier
1053110916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 827111
- Practice address
- Summit Pediatrics
6350 Mae Anne Ave #3
Reno, NV 89523 - Phone
- (775) 624-6350
- NPI assigned
- Mar 12, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 827111 | NV | Primary |
Addresses
Primary practice location
Summit Pediatrics
6350 Mae Anne Ave #3
Reno, NV 89523
Mailing address
690 Panama Dr
Sparks, NV 89436-1875
Phone (209) 814-7876
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 827111 | NV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaji Mathew MD., P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Reno, NV
- NPI 1720276587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1053110916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 PANAMA DR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894361875",
"telephone_number": "209-814-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SUMMIT PEDIATRICS",
"address_2": "6350 MAE ANNE AVE #3",
"city": "RENO",
"state": "NV",
"postal_code": "89523",
"telephone_number": "775-624-6350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ALEXIS",
"middle_name": "MARIE",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-12",
"last_updated": "2025-03-12",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "827111",
"primary": true
}
],
"identifiers": [],
"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 Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.