Individual provider Active NPI

Mary E. Sanders, PH.D.

  • Clinical Exercise Physiologist
  • Reno, NV
National Provider Identifier
1982856688
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
License
519895 Issued in NV
Practice address
1664 N Virginia St
Mail Stop 153/Redfield BLDG.
Reno, NV 89557-0001
Phone
(775) 746-0645
Fax
(775) 784-4468
NPI assigned
Oct 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise Physiologist 224Y00000X 519895 NV Primary

Addresses

Primary practice location

1664 N Virginia St
Mail Stop 153/Redfield BLDG.
Reno, NV 89557-0001

Mailing address

1664 N Virginia St
Mail Stop 153/Redfield BLDG.
Reno, NV 89557-0001
Phone (775) 746-0645

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
519895NVMDClinical Exercise Physiologist

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1982856688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 N VIRGINIA ST",
            "address_2": "MAIL STOP 153/REDFIELD BLDG.",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895570001",
            "telephone_number": "775-746-0645",
            "fax_number": "775-784-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 N VIRGINIA ST",
            "address_2": "MAIL STOP 153/REDFIELD BLDG.",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895570001",
            "telephone_number": "775-746-0645",
            "fax_number": "775-784-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MARY",
        "middle_name": "E.",
        "name_prefix": "Prof.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "NV",
            "license": "519895",
            "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 Jun 25, 2012; 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.