Active NPI
Stacey Blair Knobler, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Reno, NV
National Provider Identifier
1073705273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 12267
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12267 | NV | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stacey B. Knobler MD LTD | Neurology With Special Qualifications in Child Neurology | Past | 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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Reno, NV
- NPI 1114257326
-
- Primary Care Clinic/Center
- Reno, NV
- NPI 1265932487
-
- Pediatrics Physician
- Reno, NV
- NPI 1326343427
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1255363578
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.