Individual provider Active NPI

Cheryl Denice Nixon

  • Peer Specialist
  • Reno, NV
National Provider Identifier
1164075677
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
PRSS-SUP-5044 Issued in NV
Practice address
580 W 5TH St
Reno, NV 89503-4407
Phone
(775) 786-4673
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X PRSS-SUP-5044 NV Primary

Addresses

Primary practice location

580 W 5TH St
Reno, NV 89503-4407

Mailing address

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

Other practice location 1

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

Other practice location 2

1905 E 4th St
Reno, NV 89512-3789
Phone (775) 786-4673

Other identifiers 1

IdentifierTypeStateIssuer
1992134472MedicaidNV

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PRSS-SUP-5044NVMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alta Vista Mental Health LLC CurrentSince Aug 11, 2019 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1164075677",
    "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": "580 W 5TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034407",
            "telephone_number": "775-786-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Terminal Way Ste 217",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895023258",
            "country_code": "US",
            "telephone_number": "775-624-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895123789",
            "country_code": "US",
            "telephone_number": "775-786-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIXON",
        "first_name": "CHERYL",
        "middle_name": "DENICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NV",
            "license": "PRSS-SUP-5044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992134472",
            "state": "NV"
        }
    ],
    "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 Mar 9, 2026; 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.