Active NPI
Jane E Konakis, MD
- Family Medicine Physician
- Reno, NV
National Provider Identifier
1215935762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6270
- Practice address
- 6570 S McCarran Blvd
Reno, NV 89509-6112 - Phone
- (775) 982-8256
- Fax
- (775) 982-8251
- NPI assigned
- Jul 8, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6270 | NV | Primary |
Addresses
Primary practice location
6570 S McCarran Blvd
Reno, NV 89509-6112
Mailing address
850 Harvard Way
Reno, NV 89502-2055
Phone (775) 982-5262
Other practice location 1
2005 Sierra Highlands Dr
Suite 101
Reno, NV 89523-2303
Phone (775) 982-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11040876 | Other | CAQH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6270 | NV | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514937600000",
"number": "1215935762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 HARVARD WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895022055",
"telephone_number": "775-982-5262",
"fax_number": "775-982-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6570 S MCCARRAN BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895096112",
"telephone_number": "775-982-8256",
"fax_number": "775-982-8251"
}
],
"practiceLocations": [
{
"address_1": "2005 Sierra Highlands Dr",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895232303",
"country_code": "US",
"telephone_number": "775-982-5000",
"fax_number": "775-982-6077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONAKIS",
"first_name": "JANE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2018-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "6270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11040876",
"state": null
}
],
"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 Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.