Organization Active NPI

Thrive Skin Wound Care PLLC

  • Specialist
  • Reno, NV
National Provider Identifier
1306603329
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THRIVE SKIN WOUND CARE PLLC
Practice address
401 Ryland St # 200-1
Reno, NV 89502-1659
Phone
(702) 518-1428
NPI assigned
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Mrs. Tyna Nguyen
Title
Office Manager
Phone
(916) 317-8796

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

401 Ryland St # 200-1
Reno, NV 89502-1659

Mailing address

PO Box 61657
Irvine, CA 92602-6055
Phone (916) 317-8796

National Provider Directory

National Provider Directory

Locations

401 Ryland St
#2001
Reno, NV 89502
Phone (702) 518-1428

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1306603329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61657",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926026055",
            "telephone_number": "916-317-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RYLAND ST # 200-1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021659",
            "telephone_number": "702-518-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE SKIN WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TYNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-317-8796",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 5, 2024; 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.