Active NPI
Connie Grubbs
- Respite Care
- Reno, NV
National Provider Identifier
1841650637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- CONNIE GRUBBS
- Practice address
- 17605 Cold Springs Dr
Reno, NV 89508-8896 - Phone
- (775) 223-7833
- NPI assigned
- Mar 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Connie Grubbs
- Title
- Provider
- Phone
- (775) 223-7833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | NV | Primary |
Addresses
Primary practice location
17605 Cold Springs Dr
Reno, NV 89508-8896
Mailing address
17605 Cold Springs Dr
Reno, NV 89508-8896
Phone (775) 223-7833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900504892 | Medicaid | NV |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457308800000",
"number": "1841650637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17605 COLD SPRINGS DR",
"city": "RENO",
"state": "NV",
"postal_code": "895088896",
"telephone_number": "775-223-7833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17605 COLD SPRINGS DR",
"city": "RENO",
"state": "NV",
"postal_code": "895088896",
"telephone_number": "775-223-7833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNIE GRUBBS",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-07",
"last_updated": "2016-03-07",
"status": "A",
"authorized_official_last_name": "GRUBBS",
"authorized_official_first_name": "CONNIE",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "775-223-7833"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "900504892",
"state": "NV"
}
],
"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 Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.