Individual provider Active NPI

Sabina Ann Braithwaite, MD

  • Emergency Medicine Physician
  • Reno, NV
National Provider Identifier
1861561482
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
21846 Issued in NV
Practice address
975 Ryland St Ste 100
Reno, NV 89502-1669
Phone
(775) 982-5000
Fax
(775) 982-5225
NPI assigned
Nov 7, 2006
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2016018644 MO
Emergency Medicine Physician 207P00000X 21846 NV Primary
Internal Medicine Physician 207R00000X 21846 NV
General Practice Physician 208D00000X 2016018644 MO

Addresses

Primary practice location

975 Ryland St Ste 100
Reno, NV 89502-1669

Mailing address

1155 Mill St # McM14
Reno, NV 89502-1576
Phone (775) 982-5262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220208001789 NV Practitioner - Internal MedicinePractitioner - Emergency Medicine 4880604552 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21846NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Lyon Health Center, Inc. CurrentSince Aug 1, 2022 Accepting new patients
South Lyon Health Center, Inc. Current Accepting new patients
South Lyon Health Center, Inc. CurrentSince Aug 1, 2022 Accepting new patients
South Lyon Health Center, Inc. Current Accepting new patients
University of Virginia Physicians Group PastSince Nov 1, 2017 Accepting new patients
Greater San Antonio Emergency Physicians, PA Emergency Medicine Past Accepting new patients
River City Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Skyline Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

213 S Whitacre St
Yerington, NV 89447
Phone (775) 463-2301

Interoperability endpoints

  • Direct secure messaging: sbraithwaite181030@direct.renown.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1861561482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MCM14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 RYLAND ST STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021669",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAITHWAITE",
        "first_name": "SABINA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2016018644",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "21846",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "21846",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2016018644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.