Preventive Medicine Consulting, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PREVENTIVE MEDICINE CONSULTING, LLC

Practice address

15 McCabe Dr Ste 203
Reno, NV 89511-4816

Phone

(530) 539-4121

NPI assigned

Aug 22, 2021

Organization subpart

No

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

Authorized official

Name

Tanya M Phares, DO, MPH

Title

Owner/Physician

Phone

(530) 539-4121

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Previty Health Doing business as

Locations

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629590400000",
    "number": "1699441303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19115",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895110889",
            "telephone_number": "530-539-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MCCABE DR STE 203",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114816",
            "telephone_number": "530-539-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE MEDICINE CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A",
        "authorized_official_last_name": "PHARES",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "530-539-4121",
        "authorized_official_credential": "DO, MPH"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396078002",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Previty Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debora Preston
• Digby Maxwell Preston, MD
• Krystal Preston
• Peggy D. Preston, DDS
• Ebere Pretty
• Kali Prewett
• Carolina Preza
• Jessica Sue Pribila, CSW-I
• Jamie Pribyl, DPT
• Charles Sowle Price, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2021; 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.