Snnac LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SNNAC LLC

Practice address

932 Ryland St
Reno, NV 89502-1605

Phone

(775) 853-4166

NPI assigned

Nov 17, 2017

Organization subpart

No

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

Authorized official

Name

James Sullivan III, DO

Title

Authorized Official

Phone

(775) 232-5387

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Azura Surgery Center Northern Nevada Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Listed as

Sierra Nevada Nephrology Access CenterCCN 29C0001121

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Oneill Clark Narvarte & Vicks a Professional Corporation

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1962501940

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1578077103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 VALLEY STREAM PKWY STE 100",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551407",
            "telephone_number": "610-644-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 RYLAND ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021605",
            "telephone_number": "775-853-4166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10085 Double R Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895215860",
            "country_code": "US",
            "telephone_number": "775-853-4166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SNNAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "775-232-5387",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250001294",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azura Surgery Center Northern Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corrie Tamblyn Smyth
• SNH SE Tenant TRS, Inc
• Alicia Snider
• Kayla Snider
• Jennifer Snidow, A.P.R.N.
• Alyssa Snow, OT
• Audrey Lorraine Snow
• Carrie Snow
• Dan G Snow, MD
• Sarah Nicole Snow, APRN

• All providers in Reno, NV
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.