Active NPI
Sleep Medicine Associates
- Physiological Laboratory
- Sparks, NV
National Provider Identifier
1700046042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- SLEEP MEDICINE ASSOCIATES
- Doing business as
- SpectREM Sleep Medicine Center
- Practice address
- 2145 Green Vista Dr
Suite 112
Sparks, NV 89431-8543 - Phone
- (775) 359-1660
- Fax
- (775) 359-1497
- NPI assigned
- Jun 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John W. Freeman, BS, RPSGT
- Title
- President
- Phone
- (775) 359-6060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
2145 Green Vista Dr
Suite 112
Sparks, NV 89431-8543
Mailing address
2145 Green Vista Dr
Suite 112
Sparks, NV 89431-8543
Phone (775) 359-6060
Other names 1
- SpectREM Sleep Medicine Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090204000519 | NV | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2961566039 | Practice locations: Sparks, NV |
National Provider Directory
National Provider DirectoryLocations
2260 Reno Hwy
Ste B
Fallon, NV 89406
Phone (775) 404-3165
2225 Green Vista Dr
Ste 308
Sparks, NV 89431
Phone (775) 359-6060
2225 Green Vista Dr
Ste 306
Sparks, NV 89431
Interoperability endpoints
- https://api.platform.athenahealth.com/20291/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473206400000",
"number": "1700046042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 GREEN VISTA DR",
"address_2": "SUITE 112",
"city": "SPARKS",
"state": "NV",
"postal_code": "894318543",
"telephone_number": "775-359-6060",
"fax_number": "775-359-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 GREEN VISTA DR",
"address_2": "SUITE 112",
"city": "SPARKS",
"state": "NV",
"postal_code": "894318543",
"telephone_number": "775-359-1660",
"fax_number": "775-359-1497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP MEDICINE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-10",
"last_updated": "2016-09-07",
"status": "A",
"authorized_official_last_name": "FREEMAN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "775-359-6060",
"authorized_official_credential": "BS, RPSGT"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SpectREM Sleep Medicine Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.