Organization Active NPI

Northern Nevada Allergy Clinic, LTD.

  • Allergy Physician
  • Reno, NV
National Provider Identifier
1730397498
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
NORTHERN NEVADA ALLERGY CLINIC, LTD.
Practice address
8610 Technology Way
Reno, NV 89521
Phone
(775) 826-4900
Fax
(775) 826-3257
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Dr. Jeffrey S. Nugent, M.D.NPI 1871572768
Title
President
Phone
(775) 826-4900

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
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

8610 Technology Way
Reno, NV 89521

Mailing address

8610 Technology Way
Reno, NV 89521
Phone (775) 826-4900

Other names 1

  • Northern Nevada Allergy Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713000359 NV Part B Supplier - Clinic/Group Practice 0941288252 Receives reassigned benefits from 6 practitioners
Practice locations: Carson City, NV; Reno, NV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D0540030Northern Nevada Allergy Clinic, LTD8610 Technology Way, Reno, NV 89521Certificate of waiverDec 18, 2027

National Provider Directory

National Provider Directory

Locations

4796 Caughlin Pkwy
#106
Reno, NV 89519
Phone (702) 826-4900

8610 Technology Way
Reno, NV 89521
Phone (775) 826-4900

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75964

Practitioners & affiliated clinicians

Practitioners 6

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1730397498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 TECHNOLOGY WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89521",
            "telephone_number": "775-826-4900",
            "fax_number": "775-826-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 TECHNOLOGY WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89521",
            "telephone_number": "775-826-4900",
            "fax_number": "775-826-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEVADA ALLERGY CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "NUGENT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-826-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Nevada Allergy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.