Active NPI
Sharon E Mattheisen, RD
- Registered Dietitian
- Reno, NV
National Provider Identifier
1700124138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1005600
- Practice address
- 401 W 2ND St
#235D
Reno, NV 89503-5345 - Phone
- (775) 784-1223
- Fax
- (775) 327-2006
- NPI assigned
- Jan 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1005600 | MS | Primary |
Addresses
Primary practice location
401 W 2ND St
#235D
Reno, NV 89503-5345
Mailing address
401 W. 2ND St
#235D
Reno, NV 89503
Phone (775) 784-1223
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1005600 | MS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1700124138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W. 2ND ST",
"address_2": "#235D",
"city": "RENO",
"state": "NV",
"postal_code": "89503",
"telephone_number": "775-784-1223",
"fax_number": "775-327-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W 2ND ST",
"address_2": "#235D",
"city": "RENO",
"state": "NV",
"postal_code": "895035345",
"telephone_number": "775-784-1223",
"fax_number": "775-327-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEISEN",
"first_name": "SHARON",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-18",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "1005600",
"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 Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.