Individual provider Active NPI

Ladawn Michelle Talbott, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Reno, NV
National Provider Identifier
1528147477
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
12650 Issued in NV
Practice address
5060 Meadowood Mall Cir Ste 200
Reno, NV 89502-6587
Phone
(775) 348-4790
Fax
(775) 348-5928
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 12650 NV
Plastic and Reconstructive Surgery Physician 2086S0122X 12650 NV Primary

Addresses

Primary practice location

5060 Meadowood Mall Cir Ste 200
Reno, NV 89502-6587

Mailing address

5060 Meadowood Mall Cir Ste 200
Reno, NV 89502-6587
Phone (775) 348-4790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20230504002176 NV Practitioner - HospitalistPractitioner - Plastic and Reconstructive Surgery 2264588284 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Apr 1, 2023 Accepting new patients
Community Care Services LLC Current Accepting new patients
Community Care Services LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

75 Pringle Way
Ste 1002
Reno, NV 89502
Phone (702) 323-7500

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

Interoperability endpoints

  • Direct secure messaging: ltalbott@directaddress.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1528147477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 MEADOWOOD MALL CIR STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026587",
            "telephone_number": "775-348-4790",
            "fax_number": "775-348-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 MEADOWOOD MALL CIR STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026587",
            "telephone_number": "775-348-4790",
            "fax_number": "775-348-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOTT",
        "first_name": "LADAWN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NV",
            "license": "12650",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NV",
            "license": "12650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.