Individual provider Active NPI

Stacey Blair Knobler, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Reno, NV
National Provider Identifier
1073705273
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
12267 Issued in NV
Practice address
6548 S McCarran Blvd
Suite a
Reno, NV 89509-6164
Phone
(775) 825-8212
Fax
(775) 825-7452
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 12267 NV Primary

Addresses

Primary practice location

6548 S McCarran Blvd
Suite a
Reno, NV 89509-6164

Mailing address

6548 S McCarran Blvd
Suite a
Reno, NV 89509-6164
Phone (775) 825-8212

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

LicenseStateTypeSpecialty
12267NVMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stacey B. Knobler MD LTD Neurology With Special Qualifications in Child Neurology PastSince Jan 1, 1990 Accepting new patients
SCHC Pediatric Associates, LLC Past Accepting new patients
Reno Center for Child and Adolescent Health Past Accepting new patients
Reno Center for Child and Adolescent Health Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1073705273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6548 S MCCARRAN BLVD",
            "address_2": "SUITE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096164",
            "telephone_number": "775-825-8212",
            "fax_number": "775-825-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6548 S MCCARRAN BLVD",
            "address_2": "SUITE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096164",
            "telephone_number": "775-825-8212",
            "fax_number": "775-825-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBLER",
        "first_name": "STACEY",
        "middle_name": "BLAIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NV",
            "license": "12267",
            "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 Jan 11, 2010; 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.