Organization Active NPI

Connie Grubbs

  • Respite Care
  • Reno, NV
National Provider Identifier
1841650637
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
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

Updated by the provider on Mar 7, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
900504892MedicaidNV

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.