Rita Allison Nicoud, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA2939 Issued in NV

Practice address

1715 Kuenzli St
Reno, NV 89502-1117

Phone

(775) 329-5162

NPI assigned

Jan 17, 2024

Last updated

Jan 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Allie Nicoud Other name

Medicare fee-for-service enrollment

Enrolled in TX, OR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reno Sparks Indian ColonyGroup PAC ID 6507761897, 17 clinicians

Klamath Tribal Health and Family ServicesGroup PAC ID 9032027206, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rita.nicoud.p1@direct.rsthc.nextgenshare.com

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.

• Reno Sparks Indian Colony

  dba reno sparks tribal health center

  • Clinic/Center
  • Reno, NV
  • NPI 1497700801

  TX

  Medicare reassignment Care Compare group NPD
• Klamath Tribal Health & Family Services

  • Federally Qualified Health Center (FQHC)
  • Chiloquin, OR
  • NPI 1629078274
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sky Lakes Medical Center Inc

  • Occupational Therapist
  • Klamath Falls, OR
  • NPI 1134270911

  Hospital

  Care Compare affiliation
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Care Compare affiliation

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1679334627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 THE STRAND",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032921",
            "telephone_number": "775-741-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 KUENZLI ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021117",
            "telephone_number": "775-329-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOUD",
        "first_name": "RITA",
        "middle_name": "ALLISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "PA2939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLIE",
            "last_name": "NICOUD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nickolas Culpepper (Sierra Psychiatry)
• Christine Carla Nicks
• Rebecca Mae Nicol
• Nicole Dunn LLC
• Nathan Lee Nicolet, P.A.-C
• Alexis Annell Niel
• Amanda Nielsen, LCSW
• Earl S. Nielsen, PH.D.
• Elizabeth W Nielsen, PT
• Jarl Calmar Nielsen, M.D.

• Family Medicine Physician in Reno, NV
• Providers in Reno, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.