Individual provider Active NPI

Staci Anne Connolly, CGC

  • Genetic Counselor (M.S.)
  • Reno, NV
National Provider Identifier
1245166222
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GC75 Issued in NV
Practice address
9780 S McCarran Blvd Apt 1
Reno, NV 89523-9203
Phone
(775) 404-5000
Fax
(775) 384-6172
NPI assigned
Jun 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X GC75 NV Primary

Addresses

Primary practice location

9780 S McCarran Blvd Apt 1
Reno, NV 89523-9203

Mailing address

9780 S McCarran Blvd Apt 1
Reno, NV 89523-9203
Phone (775) 404-5000

Other names 1

  • Staci Anne Hewitson Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1245166222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 S MCCARRAN BLVD APT 1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239203",
            "telephone_number": "775-404-5000",
            "fax_number": "775-384-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 S MCCARRAN BLVD APT 1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239203",
            "telephone_number": "775-404-5000",
            "fax_number": "775-384-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "STACI",
        "middle_name": "ANNE",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NV",
            "license": "GC75",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "HEWITSON",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 18, 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.

Verify at the official NPI Registry.