Organization Active NPI

Holistic Family Practice

  • Health Service Clinic/Center
  • Reno, NV
National Provider Identifier
1053910620
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Oct 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Krystal R Peters, APRNNPI 1427506500
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1427506500MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Kareo Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.