Myrissa Margaret Prince, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-2751 Issued in NV

Practice address

9480 Double Diamond Pkwy
Reno, NV 89521-5845

Phone

(775) 786-1600

NPI assigned

Jul 12, 2021

Last updated

Jul 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1881266625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7571 AMBUSH CIR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367463",
            "telephone_number": "775-560-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 DOUBLE DIAMOND PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215845",
            "telephone_number": "775-786-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "MYRISSA",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-2751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Healthcare Services Reno LLC
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• Amanda Jewell Prina, M.S.W., L.S.W.
• Laura Prinz
• Priority One Lifestyle Management
• Prison Recovery Network, Inc
• Pristinehormonesandweight, LLC
• Joseph Henry Pritchard III, M. DIV.

• Occupational Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.