NPIMap

Individual provider Active NPI

Sahara Kathleen Rose Reid

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1891555660
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
831686 Issued in NV
Practice address
10395 Double R Blvd
Reno, NV 89521-5991
Phone
(775) 342-4638
NPI assigned
Mar 20, 2024
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 831686 NV Primary

Addresses

Primary practice location

10395 Double R Blvd
Reno, NV 89521-5991

Mailing address

9725 Rolling Rock CT
Reno, NV 89521-6136
Phone (775) 342-4638

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240702003805 NV Practitioner - Nurse Practitioner 7911441803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Medical Group Professional CorporationGroup PAC ID 4183520778, 49 clinicians
Saint Marys Medical Group IncGroup PAC ID 7618113523, 52 clinicians

Practice addresses (Care Compare)

1946 Old Hot Springs Rd
Carson City, NV 89706-0674
Phone (775) 882-1324

6255 Sharlands Ave
Reno, NV 89523-2882
Phone (775) 770-7580

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
831686NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Marys Urgent Care LLC Current Accepting new patients
Saint Mary's Medical Group Inc CurrentSince Jun 1, 2024 Accepting new patients
Saint Marys Medical Group Inc. CurrentSince Jun 1, 2024 Accepting new patients
Carson Medical Group Professional Corporation CurrentSince Jan 5, 2026 Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

1200 Mountain St
Ste 23
Carson City, NV 89703

1946 Old Hot Springs Rd
Carson City, NV 89706
Phone (775) 283-5050

925 Ironwood Dr
Ste 2111
Minden, NV 89423
Phone (775) 283-5050

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

6255 Sharlands Ave
Reno, NV 89523
Phone (775) 245-6117

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABJDAA

Organizations & group practices 4

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1891555660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 ROLLING ROCK CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216136",
            "telephone_number": "775-342-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10395 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215991",
            "telephone_number": "775-342-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "SAHARA KATHLEEN",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "831686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.