Active NPI
Susan Dianne Ribeiro, M.D.
- Pediatrics Physician
- Reno, NV
National Provider Identifier
1366412363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 9124
- Practice address
- 18653 Wedge Parkway, Suite 130
Reno, NV 89511 - Phone
- (775) 770-7630
- Fax
- (775) 770-7635
- NPI assigned
- Jan 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9124 | NV | Primary |
Addresses
Primary practice location
18653 Wedge Parkway, Suite 130
Reno, NV 89511
Mailing address
18653 Wedge Parkway, Suite 130
Reno, NV 89511
Phone (775) 770-7630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3102343 | Medicaid | NV |
Other names 1
- Susan Dianne Guthrie
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9124 | NV | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1366412363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18653 WEDGE PARKWAY, SUITE 130",
"city": "RENO",
"state": "NV",
"postal_code": "89511",
"telephone_number": "775-770-7630",
"fax_number": "775-770-7635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18653 WEDGE PARKWAY, SUITE 130",
"city": "RENO",
"state": "NV",
"postal_code": "89511",
"telephone_number": "775-770-7630",
"fax_number": "775-770-7635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIBEIRO",
"first_name": "SUSAN",
"middle_name": "DIANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "9124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3102343",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "GUTHRIE",
"middle_name": "DIANNE",
"code": "5",
"type": "Other 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 Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.