Nicole Sweeney, PA-C, RD

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA949 Issued in NV

Practice address

1155 Mill St
Reno, NV 89502-1576

Phone

(775) 982-4330

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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 Health Alliance

  • Federally Qualified Health Center (FQHC)
  • Reno, NV
  • NPI 1326162710
  Medicare reassignment NPD
• Community Health Alliance

  • Federally Qualified Health Center (FQHC)
  • Sun Valley, NV
  • NPI 1427283860
  NPD
• Community Health Alliance

  • Pharmacy
  • Sun Valley, NV
  • NPI 1720728298
  NPD
• Pokroy Medical Group of Nevada, LTD.

  dba Pediatrix Medical Group of Nevada

  • Neonatal-Perinatal Medicine Physician
  • Las Vegas, NV
  • NPI 1992809412
  NPD (past)
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1124098421
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1164473765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 WRONDEL WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023310",
            "telephone_number": "775-750-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-4330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3980 Lake Placid Dr",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895116702",
            "country_code": "US",
            "telephone_number": "775-470-8260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "783 Basque Way Ste 103",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897067981",
            "country_code": "US",
            "telephone_number": "286-777-5720",
            "fax_number": "775-245-2867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "NICOLE",
        "credential": "PA-C, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "40306-DI-0",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509175",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Sweedlow
• Cheyenne Sweeney- Gonzalez, LADC
• Edwin Steven Sweeney, M.D.
• Kyla Sweeney, PA-C
• Lisa Sweeney
• Bradley Sweet
• Kelsey Sweet, MA
• Stephanie Sweet
• Thomas Sweet
• Margaret Swezey

• Medical Physician Assistant in Reno, NV
• Providers in Reno, NV by specialty
• Medical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.