Active NPI
Jennifer J Padolina, OD
- Optometrist
- Reno, NV
National Provider Identifier
1790271609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 971
- Practice address
- 2296 Kietzke LN
Reno, NV 89502 - Phone
- (775) 786-7200
- NPI assigned
- Jul 3, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 971 | NV | Primary |
Addresses
Primary practice location
2296 Kietzke LN
Reno, NV 89502
Mailing address
3118 Sterling Ridge Cir
Sparks, NV 89431-4390
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 971 | NV | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1790271609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3118 STERLING RIDGE CIR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894314390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2296 KIETZKE LN",
"city": "RENO",
"state": "NV",
"postal_code": "89502",
"telephone_number": "775-786-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADOLINA",
"first_name": "JENNIFER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-03",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "971",
"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 Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.