Organization Active NPI

New Dawn MH Reno PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Reno, NV
National Provider Identifier
1689286361
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NEW DAWN MH RENO PC
Practice address
550 W Plumb LN Ste B274
Reno, NV 89509-3468
Phone
(775) 682-0728
NPI assigned
Aug 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Jesus Alexie Romero, ARNP-PMHNPNPI 1164901161
Title
Ceo
Phone
(775) 682-0728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

550 W Plumb LN Ste B274
Reno, NV 89509-3468

Mailing address

550 W Plumb LN Ste B274
Reno, NV 89509-3468
Phone (775) 682-0728

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL newdawnmhreno@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231003003951 NV Part B Supplier - Clinic/Group Practice 7214381664 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20231006001981 AZ Part B Supplier - Clinic/Group Practice 7214381664 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, AZ

National Provider Directory

National Provider Directory

Locations

550 W Plumb Ln
Ste B274
Reno, NV 89509
Phone (775) 682-0728

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1689286361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W PLUMB LN STE B274",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093468",
            "telephone_number": "775-682-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W PLUMB LN STE B274",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093468",
            "telephone_number": "775-682-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DAWN MH RENO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-23",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "ALEXIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-682-0728",
        "authorized_official_credential": "ARNP-PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "newdawnmhreno@gmail.com",
            "affiliation": "N",
            "address_1": "550 W Plumb Ln Ste B274",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895093468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.