Active NPI
Scott P. Stimson, PA-C
- Physician Assistant
- Reno, NV
National Provider Identifier
1982751137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1028
- Practice address
- 21 Locust St
Reno, NV 89502-1316 - Phone
- (775) 982-5270
- Fax
- (775) 982-5288
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1028 | NV | Primary |
Addresses
Primary practice location
21 Locust St
Reno, NV 89502-1316
Mailing address
780 Kuenzli St
Ste 202
Reno, NV 89502-0845
Phone (775) 982-4590
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982751137 | Medicaid | NV | |
| 11934116 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1982751137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 KUENZLI ST",
"address_2": "STE 202",
"city": "RENO",
"state": "NV",
"postal_code": "895020845",
"telephone_number": "775-982-4590",
"fax_number": "775-982-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 LOCUST ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021316",
"telephone_number": "775-982-5270",
"fax_number": "775-982-5288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIMSON",
"first_name": "SCOTT",
"middle_name": "P.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982751137",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11934116",
"state": null
}
],
"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 May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.