Northern Nevada HIV Outpatient Program, Education and Services

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES

Practice address

595 Bell St
Reno, NV 89503-4430

Phone

(775) 786-4673

NPI assigned

Nov 9, 2021

Organization subpart

Yes

Parent organization

NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICESAs reported in NPPES

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

Authorized official

Name

Debra L De Vay

Title

Cfo

Phone

(775) 997-7579

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Hope Springs

  • Federally Qualified Health Center (FQHC)
  • Reno, NV
  • NPI 1750901625

  O20040520001045

  Same enrollment
• Northern Nevada HIV Outpatient Program, Education and Services

  • Specialist
  • Reno, NV
  • NPI 1992709976

  O20040520001045

  Same enrollment

Part of

Northern Nevada HIV Outpatient Program Education and Services

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chelsea Travers

  • Family Medicine Physician
  • Reno, NV
  • NPI 1215590542
  NPD
• Laura Lynn Myer

  • Clinical Social Worker
  • Renton, WA
  • NPI 1043607237
  NPD

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1235895871",
    "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",
            "fax_number": "775-348-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BELL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034430",
            "telephone_number": "775-786-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "DE VAY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "775-997-7579"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Nevada HIV Outpatient Program Education and Services
• Northern Nevada HIV Outpatient Program Education and Services
• Northern Nevada HIV Outpatient Program, Education and Services
• Northern Nevada HIV Outpatient Program, Education and Services
• Northern Nevada HIV Outpatient Program, Education and Services
• Northern Nevada HIV Outpatient Program, Education and Services
• Northern Nevada HIV Outpatient Program, Education and Services
• Northern Nevada HIV Outpatient Program, Education and Services
• Northern Nevada HIV Outpatient Program, Education and Services
• Northern Nevada HIV Outpatient Program, Education and Services

• Federally Qualified Health Center (FQHC) in Reno, NV
• Providers in Reno, NV by specialty
• Federally Qualified Health Center (FQHC) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.