Active NPI
Sharon R. Mattioli, APRN
- Family Nurse Practitioner
- Reno, NV
National Provider Identifier
1679667141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN 000736
- Practice address
- 330 E Liberty St Ste 200
Reno, NV 89501-2221 - Phone
- (775) 398-3630
- Fax
- (775) 398-3685
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN 000736 | NV | Primary |
Addresses
Primary practice location
330 E Liberty St Ste 200
Reno, NV 89501-2221
Mailing address
781 Mill St
Reno, NV 89502-1320
Phone (775) 398-1981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100510742 | Medicaid | NV |
Other names 1
- Sharon R. Miller
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN 000736 | NV | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1679667141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "781 MILL ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021320",
"telephone_number": "775-398-1981",
"fax_number": "775-398-1981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E LIBERTY ST STE 200",
"city": "RENO",
"state": "NV",
"postal_code": "895012221",
"telephone_number": "775-398-3630",
"fax_number": "775-398-3685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTIOLI",
"first_name": "SHARON",
"middle_name": "R.",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN 000736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100510742",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "MILLER",
"middle_name": "R.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
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 Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.