Individual provider Active NPI

Stephanie Kowatch, APRN

  • Nurse Practitioner
  • Reno, NV
National Provider Identifier
1124503743
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
815947 Issued in NV
Practice address
3495 Lakeside Dr # 1448
Reno, NV 89509-4841
Phone
(775) 285-6411
Fax
(775) 244-7244
NPI assigned
Sep 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 815947 NV
Nurse Practitioner 363L00000X 815947 NV Primary

Addresses

Primary practice location

3495 Lakeside Dr # 1448
Reno, NV 89509-4841

Mailing address

3495 Lakeside Dr # 1448
Reno, NV 89509-4841
Phone (775) 285-6411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC Nurse Practitioner CurrentSince Jun 9, 2025 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Albany ENT & Allergy Services PC Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients

Locations

9360 Glacier Hwy
Ste 202
Juneau, AK 99801
Phone (703) 722-6955

615 W Johnson Ave
Ste 202
Cheshire, CT 06410
Phone (203) 695-7057

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208

1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191

170 Commerce Way
Ste 2003113
Portsmouth, NH 03801

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

75 S Broadway
Fl 4
White Plains, NY 10601
Phone (845) 415-7105

1831 E 71st St
Ste 300
Tulsa, OK 74136

18 Campus Blvd
Ste 100
Newtown Square, PA 19073
Phone (484) 680-7575

180 N University Ave
Ste 270
Provo, UT 84601
Phone (385) 469-3731

11815 Fountain Way
Newport News, VA 23606

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

1908 Thomes Ave
Cheyenne, WY 82001

Interoperability endpoints

  • Direct secure messaging: stephanie.kowatch@337577483108356.direct.elationemr.com

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": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1124503743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 LAKESIDE DR # 1448",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094841",
            "telephone_number": "775-285-6411",
            "fax_number": "775-244-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 LAKESIDE DR # 1448",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094841",
            "telephone_number": "775-285-6411",
            "fax_number": "775-244-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWATCH",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "815947",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "815947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.