Individual provider Active NPI

Danielle Joy Stage, M.D.

  • Pediatrics Physician
  • Reno, NV
National Provider Identifier
1255642690
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
15723 Issued in NV
Practice address
1055 S Wells Ave
Reno, NV 89502-2550
Phone
(775) 329-6300
Fax
(775) 336-0646
NPI assigned
Jun 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 61040-20 WI
Pediatrics Physician 208000000X 15723 NV Primary

Addresses

Primary practice location

1055 S Wells Ave
Reno, NV 89502-2550

Mailing address

680 S Rock Blvd
Reno, NV 89502-4113
Phone (775) 329-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215001917 NV Practitioner - Pediatric Medicine 1456652585 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61040-20WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Sep 30, 2024 Accepting new patients
Hometown Health Management Company Pediatrics CurrentSince Sep 30, 2024 Accepting new patients
Hometown Health Management Company CurrentSince Sep 30, 2024 Accepting new patients
Community Care Services LLC CurrentSince Sep 30, 2024 Accepting new patients
Community Care Services LLC Current Accepting new patients

Locations

2814 N Carson St
Ste 101
Carson City, NV 89706

560 E Williams Ave
Fallon, NV 89406
Phone (775) 428-2022

560 W Williams Ave
Fallon, NV 89406

1343 Newlands Dr W
Fernley, NV 89408
Phone (775) 575-3600

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1055 S Wells Ave
Reno, NV 89502
Phone (775) 829-6300

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

440 USA Pkwy
Ste 101
Sparks, NV 89437

Interoperability endpoints

  • Direct secure messaging: dstage106061@direct.renown.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1255642690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S ROCK BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024113",
            "telephone_number": "775-329-6300",
            "fax_number": "775-336-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 S WELLS AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022550",
            "telephone_number": "775-329-6300",
            "fax_number": "775-336-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGE",
        "first_name": "DANIELLE",
        "middle_name": "JOY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "61040-20",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "15723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.