MRS. LESLIE STOCKHOLM (NPI# 1790260578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790260578 |
| Entity Type | Individual |
| Full Name | MRS. LESLIE STOCKHOLM |
| Credential | APRN |
| Practice Address |
7111 S Virginia St Reno NV 89511-1115 |
| Practice Telephone | 7758515700 |
| Mailing Telephone | 7758515700 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
812953 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | LICENSE NUMBER | 812953 | 01 |
| Street Address |
7111 S VIRGINIA ST |
| City | RENO |
| State | NV |
| Zip Code | 89511-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487690350 | Reno Family Physicians Jennifer Hornback Md, Etal,ltd | Family Medicine | 7111 S Virginia St, Reno, NV 89511 | 2006-06-21 |
| 1457903791 | Shannon Weaver | Physician Assistant | 7111 S Virginia St, Reno, NV 89511-1115 | 2019-07-16 |
| 1265620801 | Erica Rae Simpson | Family Medicine | 7111 S Virginia St, Suite A7, Reno, NV 89511-1115 | 2007-10-09 |
| 1487740460 | Timothy D Coughlin | Family Medicine | 7111 S Virginia St, Reno, NV 89511-1115 | 2006-10-05 |
| 1962598979 | John E Horgan | Family Medicine | 7111 S Virginia St, `, Reno, NV 89511-1115 | 2006-10-05 |
| 1952497950 | Jennifer K. Hornback | Family Medicine | 7111 S Virginia St, Reno, NV 89511-1115 | 2006-10-05 |
| 1770679706 | James F Schaupp | Family Medicine | 7111 S Virginia St, Reno, NV 89511-1115 | 2006-10-05 |
| 1376655134 | Bradley S Corbin | Chiropractor | 7111 S Virginia St, A 14, Reno, NV 89511-1115 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003323510 | Tate Health and Wellness, Pllc | Nurse Practitioner | 2005 Sierra Highlands Dr., Suite 101, Reno, NV 89523 | 2018-01-05 |
| 1427660992 | Lara Kristina Morales | Nurse Practitioner | 1075 N Hills Blvd Ste 180, Reno, NV 89506-6799 | 2020-08-17 |
| 1578091658 | Charles Sather | Nurse Practitioner | 1201 Corporate Blvd, Reno, NV 89502-7177 | 2017-06-01 |
| 1770032914 | Ashley Mccoy | Nurse Practitioner | 645 N Arlington Ave, Suite 600, Reno, NV 89503-4460 | 2016-09-29 |
| 1609323773 | Center for Health Internal Medicine Associates Shaheen Ali Md PC | Nurse Practitioner | 645 N Arlington Ave, Suite 600, Reno, NV 89503-4460 | 2016-09-07 |
| 1942589262 | Ashlie D. Teixeira-smith | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2011-08-04 |
| 1609160316 | Jennifer M Leary | Nurse Practitioner | 645 N Arlington Ave, Suite 600, Reno, NV 89503-4460 | 2011-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709740 | Marizel Yukee | Nurse Practitioner | 3086 Lapis Beach Dr, Las Vegas, NV 89117 | 2020-08-05 |
| 1821619867 | Instadoctor LLC | Nurse Practitioner | 6280 S Valley View Blvd Ste 736, Las Vegas, NV 89118-6833 | 2020-04-30 |
| 1780205823 | Diao Np Pllc | Nurse Practitioner | 8972 Frasure Falls Ave, Las Vegas, NV 89178-7215 | 2020-04-29 |
| 1730713611 | Saint Jude Medical Group LLC Home Doctors | Nurse Practitioner | 4412 W Charleston Blvd Ste B, Las Vegas, NV 89102-1636 | 2020-02-28 |
| 1821620469 | Camatchy Radjassegarane | Nurse Practitioner | 2653 Bad Rock Cir, Henderson, NV 89052-1000 | 2020-02-11 |
| 1184274037 | Jocybel Itorralba | Nurse Practitioner | 2440 Professional Ct Ste 110, Las Vegas, NV 89128-0839 | 2019-09-12 |
| 1679121958 | Priority Health System LLC | Nurse Practitioner | 2655 S Rainbow Blvd Ste 410, Las Vegas, NV 89146-5100 | 2019-08-29 |
| 1386205052 | Rhia Joy Lumanog Dizon | Nurse Practitioner | 7003 Tidelands Park Ct, Las Vegas, NV 89166-7132 | 2019-06-24 |
| 1184284283 | Brianemmanuel Amat Del Rosario | Nurse Practitioner | 7350 W Centennial Pkwy Unit 2008, Las Vegas, NV 89131-1646 | 2019-06-19 |
| 1467912386 | Shannon Lee Latham | Nurse Practitioner | 801 S Rancho Dr Ste F1, Las Vegas, NV 89106-3814 | 2019-03-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.