Alexis Guy Brandon, PA
Individual provider Active NPI Physician Assistant · Reno, NV
NPI 1760705206 · NPPES record last updated Oct 1, 2020
Key facts
- NPI
- 1760705206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA20867 (CA)
- Practice address
- 10345 Professional Cir
Reno, NV 89521-5862 - Phone
- (800) 929-0926
- Fax
- (800) 238-6575
- NPI assigned
- Mar 11, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250121000414 | NV | Practitioner - Physician Assistant | 7113147356 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20867 | CA | MD | Dentist |
| PA20867 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobileonedocs, LLC | Current |
Accepting new patients | |
| Mobileonedocs, LLC | Current |
Accepting new patients |
Locations
8565 S Eastern Ave
Ste 150
Las Vegas, NV 89123
Phone (702) 217-0820
Interoperability endpoints
- alexis.brandon.1@29786.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA20867 | CA | Yes |
Addresses
Primary practice location
10345 Professional Cir
Reno, NV 89521-5862
Mailing address
10345 Professional Cir
Reno, NV 89521-5862
Phone (800) 929-0926
Other names
- Alexis Nicole Guy
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.