Active NPI
Susan Wiessner, PATHOLOGISTS' ASSIST
- Anatomic Pathology & Clinical Pathology Physician
- Reno, NV
National Provider Identifier
1689144529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 27184-AP-3
- Practice address
- 475 Kirman Ave
Reno, NV 89502-1907 - Phone
- (775) 334-3450
- NPI assigned
- Dec 4, 2018
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 27184-AP-3 | NV | Primary |
Addresses
Primary practice location
475 Kirman Ave
Reno, NV 89502-1907
Mailing address
412 13TH St
Glenwood Springs, CO 81601-3958
Phone (763) 227-8860
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27184-AP-3 | NV | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1689144529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 13TH ST",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816013958",
"telephone_number": "763-227-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 KIRMAN AVE",
"city": "RENO",
"state": "NV",
"postal_code": "895021907",
"telephone_number": "775-334-3450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIESSNER",
"first_name": "SUSAN",
"credential": "PATHOLOGISTS' ASSIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-04",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NV",
"license": "27184-AP-3",
"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 Dec 4, 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.