Phyllis Anne Trail, RN, LMFT

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN10245 Issued in NV

Practice address

850 Mill St Ste 100
Reno, NV 89502-1463

Phone

(775) 538-6700

Fax

(775) 688-5878

NPI assigned

Jul 24, 2018

Last updated

Jul 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1508343484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4521",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897024521",
            "telephone_number": "775-888-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MILL ST STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021463",
            "telephone_number": "775-538-6700",
            "fax_number": "775-688-5878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Chubasco Way",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897016055",
            "country_code": "US",
            "telephone_number": "775-888-9148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAIL",
        "first_name": "PHYLLIS",
        "middle_name": "ANNE",
        "credential": "RN, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT15312",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NV",
            "license": "RN10245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci B Pitts PHD Inc
• Elizabeth Tracy
• Jennifer Tracy, RN
• Kerstin S Tracy, MS, LMT
• Meredith A Tracy, M.S.P.T.
• Rebecqa Trail
• Christian Charles Ramirez Trajano, M.D.
• Calley Tran, RBT
• Kelly Thanh Quynh Tran, NP-C
• Ngoc Khuyen Tran, MD

• Psychiatric/Mental Health Registered Nurse in Reno, NV
• Providers in Reno, NV by specialty
• Psychiatric/Mental Health Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.