Individual provider Active NPI

Kathy Reese Stinson, MD, PHD

  • Family Medicine Physician
  • Fallon, NV
National Provider Identifier
1285674630
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11836 Issued in NV
Practice address
560 E Williams Ave
Fallon, NV 89406-3031
Phone
(775) 428-2022
Fax
(775) 428-2024
NPI assigned
Jun 7, 2006
Last updated
Feb 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 11836 NV
Family Medicine Physician 207Q00000X 11836 NV Primary
Obstetrics & Gynecology Physician 207V00000X 11836 NV

Addresses

Primary practice location

560 E Williams Ave
Fallon, NV 89406-3031

Mailing address

780 Kuenzli St
Ste 202
Reno, NV 89502-0837
Phone (775) 982-4590

Other identifiers 2

IdentifierTypeStateIssuer
11035934OtherCAQH
1285674630MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150909002213 CA Order and Referring Only - Family PracticePractitioner - Family Practice 2163490590

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Powell County Memorial Hospital Association Inc Past Accepting new patients
Provider Network, Inc Family Medicine Past Accepting new patients
Renown Urgent Care LLC Family Medicine Past Accepting new patients
Powell County Memorial Hospital Association Inc Family Medicine Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1285674630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 KUENZLI ST",
            "address_2": "STE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895020837",
            "telephone_number": "775-982-4590",
            "fax_number": "775-982-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 E WILLIAMS AVE",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063031",
            "telephone_number": "775-428-2022",
            "fax_number": "775-428-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSON",
        "first_name": "KATHY",
        "middle_name": "REESE",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "11836",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "11836",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "11836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11035934",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285674630",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallon, NV

Sources for this page

Verify at the official NPI Registry.