Reno Sparks Tribal Health Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

LPN07194 Issued in NV

Legal business name

RENO SPARKS TRIBAL HEALTH CENTER

Practice address

1715 Kuenzli St
Reno, NV 89502-1117

Phone

(775) 329-5162

Fax

(775) 334-4357

NPI assigned

Mar 17, 2011

Organization subpart

No

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

Authorized official

Name

Cordelia Abel-Johnson, PLN

Title

Community Health Supervisor

Phone

(775) 329-5162

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1730488644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 KUENZLI ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021117",
            "telephone_number": "775-329-5162",
            "fax_number": "775-334-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 KUENZLI ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021117",
            "telephone_number": "775-329-5162",
            "fax_number": "775-334-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENO SPARKS TRIBAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "ABEL-JOHNSON",
        "authorized_official_first_name": "CORDELIA",
        "authorized_official_title_or_position": "COMMUNITY HEALTH SUPERVISOR",
        "authorized_official_telephone_number": "775-329-5162",
        "authorized_official_credential": "PLN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NV",
            "license": "LPN07194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "164W00000X",
            "identifier": "LPN07194",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reno Psychiatric Associates PLLC
• Reno Psychological Services, LLC
• Reno Radiological Associates, Chartered
• Reno Regenerative Medicine
• Reno Sparks Indian Colony
• Reno Spine Center
• Reno Stronger
• Reno Surgical Associates (Chu)
• Reno Tahoe Anesthesia Weaver PC
• Reno Tahoe Psychiatry - Matuszak and Parra, PLLC

• Clinic/Center in Reno, NV
• Providers in Reno, NV by specialty
• Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.