Organization Active NPI

Nickolas Culpepper

  • Community Health Clinic/Center
  • Reno, NV
National Provider Identifier
1780153635
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
NICKOLAS CULPEPPER
Practice address
6940 Sierra Center Pkwy
Reno, NV 89511-2209
Phone
(775) 393-2200
NPI assigned
Nov 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Nickolas Culpepper, MDNPI 1184069544
Title
President/Ceo
Phone
(706) 832-6922

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

6940 Sierra Center Pkwy
Reno, NV 89511-2209

Mailing address

11135 Messina Way
Reno, NV 89521-4249

Other names 1

  • Sierra Psychiatry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1780153635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11135 MESSINA WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 SIERRA CENTER PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112209",
            "telephone_number": "775-393-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKOLAS CULPEPPER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "CULPEPPER",
        "authorized_official_first_name": "NICKOLAS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "706-832-6922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sierra Psychiatry",
            "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 Nov 5, 2019; 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.