Organization Active NPI

Pure Infusion of Nevada LLC

  • Multi-Specialty Clinic/Center
  • Reno, NV
National Provider Identifier
1982586350
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PURE INFUSION OF NEVADA LLC
Practice address
1865 Plumas St Ste 4
Reno, NV 89509-3386
Phone
(775) 218-9020
NPI assigned
Jul 24, 2025
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Rachel Ann Fraga
Title
Director of Payer Development
Phone
(801) 921-6325

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1865 Plumas St Ste 4
Reno, NV 89509-3386

Mailing address

4179 S Riverboat Rd Ste 220
Taylorsville, UT 84123-2986
Phone (801) 590-9267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251023002028 NV Part B Supplier - Clinic/Group Practice 5890283519 Receives reassigned benefits from 4 practitioners
Practice locations: Las Vegas, NV; Reno, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1982586350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 S RIVERBOAT RD STE 220",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232986",
            "telephone_number": "801-590-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 PLUMAS ST STE 4",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895093386",
            "telephone_number": "775-218-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE INFUSION OF NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER DEVELOPMENT",
        "authorized_official_telephone_number": "801-921-6325"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.