Individual provider Active NPI

Christina Manis, FNP

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1477216174
Registry record updated May 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018197 Issued in CA
Practice address
5150 Mae Anne Ave Ste 405
Reno, NV 89523-1859
Phone
(916) 532-6305
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95018197 CA Primary

Addresses

Primary practice location

5150 Mae Anne Ave Ste 405
Reno, NV 89523-1859

Mailing address

5150 Mae Anne Ave Ste 405
Reno, NV 89523-1859
Phone (916) 532-6305

Other practice location 1

16790 Placer Hills Rd Ste B
Meadow Vista, CA 95722-9322
Phone (916) 532-6305

Other identifiers 1

IdentifierTypeStateIssuer
95018197OtherCABOARD OF NURSING

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

State licenses

LicenseStateTypeSpecialty
95018197CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685145600000",
    "number": "1477216174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 MAE ANNE AVE STE 405",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895231859",
            "telephone_number": "916-532-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 MAE ANNE AVE STE 405",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895231859",
            "telephone_number": "916-532-6305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16790 Placer Hills Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Meadow Vista",
            "state": "CA",
            "postal_code": "957229322",
            "country_code": "US",
            "telephone_number": "916-532-6305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIS",
        "first_name": "CHRISTINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2023-05-27",
        "certification_date": "2023-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "95018197",
            "state": "CA"
        }
    ],
    "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 May 27, 2023; 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.