NPIMap

Organization Active NPI

Vestige Project

  • Exclusive Provider Organization
  • Reno, NV
National Provider Identifier
1174868392
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
0804464530 Issued in NV
Legal business name
VESTIGE PROJECT
Practice address
620 E Plumb LN
Reno, NV 89502-3536
Phone
(775) 825-3043
NPI assigned
Nov 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Jerame Troy Vancil
Title
PSR
Phone
(510) 967-5298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 0804464530 NV Primary

Addresses

Primary practice location

620 E Plumb LN
Reno, NV 89502-3536

Mailing address

620 E Plumb LN
Reno, NV 89502-3536
Phone (775) 825-3043

National Provider Directory

National Provider Directory
Tax ID family
New Leaf Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

620 E Plumb Ln
Reno, NV 89502
Phone (775) 420-0556

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1174868392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E PLUMB LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023536",
            "telephone_number": "775-825-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E PLUMB LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023536",
            "telephone_number": "775-825-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTIGE PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "VANCIL",
        "authorized_official_first_name": "JERAME",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "PSR",
        "authorized_official_telephone_number": "510-967-5298"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NV",
            "license": "0804464530",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 28, 2012; 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.