Active NPI
Holistic Family Practice
- Health Service Clinic/Center
- Reno, NV
National Provider Identifier
1053910620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- HOLISTIC FAMILY PRACTICE
- Practice address
- 645 Sierra Rose Dr Ste 102a
Reno, NV 89511-4030 - Phone
- (775) 386-9010
- NPI assigned
- Oct 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krystal R Peters, APRN
- Title
- Aprn
- Phone
- (775) 386-9010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
645 Sierra Rose Dr Ste 102a
Reno, NV 89511-4030
Mailing address
645 Sierra Rose Dr Ste 102a
Reno, NV 89511-4030
Phone (775) 386-9010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427506500 | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Kareo | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
645 Sierra Rose Dr
Ste 102A
Reno, NV 89511
Phone (775) 386-9010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Reno, NV
- NPI 1427506500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603411200000",
"number": "1053910620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 SIERRA ROSE DR STE 102A",
"city": "RENO",
"state": "NV",
"postal_code": "895114030",
"telephone_number": "775-386-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 SIERRA ROSE DR STE 102A",
"city": "RENO",
"state": "NV",
"postal_code": "895114030",
"telephone_number": "775-386-9010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-23",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A",
"authorized_official_last_name": "PETERS",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "775-386-9010",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427506500",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Kareo",
"affiliation": "N",
"endpointDescription": "Kareo EMR application",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "messaging and results",
"address_1": "645 Sierra Rose Dr Ste 102A",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895114030",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.