Individual provider Active NPI

Neda Etezadi - Amoli, M.D.

  • Obstetrics & Gynecology Physician
  • Reno, NV
National Provider Identifier
1629167846
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13000 Issued in NV
Practice address
1664 N. Virginia St.,
Ms 153
Reno, NV 89557-0001
Phone
(775) 784-4474
Fax
(775) 784-4468
NPI assigned
Oct 12, 2006
Last updated
Mar 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13000 NV Primary

Addresses

Primary practice location

1664 N. Virginia St.,
Ms 153
Reno, NV 89557-0001

Mailing address

1664 N. Virginia St.
#234F, Mail Stop - 1332
Reno, NV 89557-0001
Phone (775) 682-8175

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

LicenseStateTypeSpecialty
13000NVMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renown Transitional Care Services Obstetrics & Gynecology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: netezadiamoli8508@direct.renown.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1629167846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 N. VIRGINIA ST.",
            "address_2": "#234F, MAIL STOP - 1332",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895570001",
            "telephone_number": "775-682-8175",
            "fax_number": "775-327-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 N. VIRGINIA ST.,",
            "address_2": "MS 153",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895570001",
            "telephone_number": "775-784-4474",
            "fax_number": "775-784-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETEZADI - AMOLI",
        "first_name": "NEDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "13000",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 13, 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.