Individual provider Active NPI

Catherine Wade, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Reno, NV
National Provider Identifier
1134764715
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
825330 Issued in NV
Practice address
1201 Terminal Way Ste 217
Reno, NV 89502-3258
Phone
(775) 624-8200
Fax
(775) 624-8222
NPI assigned
Nov 7, 2019
Last updated
Apr 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 825330 NV Primary

Addresses

Primary practice location

1201 Terminal Way Ste 217
Reno, NV 89502-3258

Mailing address

1201 Terminal Way Ste 217
Reno, NV 89502-3258
Phone (775) 624-8200

Other names 1

  • Catherine Sutor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200430000348 NV Practitioner - Nurse Practitioner 4385074590 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
825330NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Philip Malinas MD & Associates PLLC Psychiatry CurrentSince Feb 3, 2021 Accepting new patients
Desert Orchid Health Psychiatric/Mental Health Current Accepting new patients

Locations

639 Isbell Rd
Ste 380
Reno, NV 89509
Phone (775) 348-5800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1134764715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 TERMINAL WAY STE 217",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023258",
            "telephone_number": "775-624-8200",
            "fax_number": "775-624-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 TERMINAL WAY STE 217",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023258",
            "telephone_number": "775-624-8200",
            "fax_number": "775-624-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "CATHERINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "825330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "SUTOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.