Active NPI
Kelsi Wade
- Technician
- Reno, NV
National Provider Identifier
1699628248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- License
- E-54656
- Practice address
- 235 Lake St Ste 15
Reno, NV 89501-1517 - Phone
- (775) 450-4102
- NPI assigned
- Feb 16, 2026
- Last updated
- Feb 16, 2026
- 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 |
|---|---|---|---|---|
| Technician | 374700000X | E-54656 | NV | Primary |
Addresses
Primary practice location
235 Lake St Ste 15
Reno, NV 89501-1517
Mailing address
718 Hastings Way
Fernley, NV 89408-9152
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 |
|---|---|---|---|
| E-54656 | NV | MD | Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1699628248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 HASTINGS WAY",
"city": "FERNLEY",
"state": "NV",
"postal_code": "894089152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 LAKE ST STE 15",
"city": "RENO",
"state": "NV",
"postal_code": "895011517",
"telephone_number": "775-450-4102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "KELSI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-16",
"last_updated": "2026-02-16",
"certification_date": "2026-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "NV",
"license": "E-54656",
"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 Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.