Active NPI
Cheryl Denice Nixon
- Peer Specialist
- Reno, NV
National Provider Identifier
1164075677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- PRSS-SUP-5044
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992134472 | Medicaid | NV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PRSS-SUP-5044 | NV | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alta Vista Mental Health LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Reno, NV
- NPI 1992134472
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.