NPIMap

Organization Active NPI

Northern Nevada HIV Outpatient Program, Education and Services

  • Federally Qualified Health Center (FQHC)
  • Reno, NV
National Provider Identifier
1093421919
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES
Practice address
1905 E 4TH St
Reno, NV 89512-3789
Phone
(775) 786-4673
NPI assigned
Jan 24, 2023
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Debra L De Vay
Title
Cfo
Phone
(775) 997-7579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1905 E 4TH St
Reno, NV 89512-3789

Mailing address

580 W 5TH St
Reno, NV 89503-4407
Phone (775) 786-4673

National Provider Directory

National Provider Directory
Tax ID family
Northern Nevada HIV Outpatient Program Education and Services11 organizations share this tax ID, including this one
Part of
Northern Nevada HIV Outpatient Program Education and Services

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1093421919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W 5TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034407",
            "telephone_number": "775-786-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 E 4TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895123789",
            "telephone_number": "775-786-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES",
        "enumeration_date": "2023-01-24",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "DE VAY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "775-997-7579"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "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 Aug 23, 2024; 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.