PEAVINE PODIATRIC PHYSICIANSLLC NPI 1386677367

NPI Information

  • NPI: 1386677367
  • Provider Name: PEAVINE PODIATRIC PHYSICIANS,LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 645 N ARLINGTON AVE
    STE 660
    RENO, NV
    ZIP 89503
  • Phone: (775) 746-3338

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NPI Details

PEAVINE PODIATRIC PHYSICIANS,LLC is a specialist in Reno, NV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PEAVINE PODIATRIC PHYSICIANS,LLC NPI is 1386677367. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

645 N ARLINGTON AVE
STE 660
RENO, NV
ZIP 89503-505
Phone: (775) 746-3338
Fax: (775) 746-3343

The provider's authorized official is Corolinda Sehelasa Helu .
The authorized official title is Dpm/owner and has the following contact phone number (775) 746-3338.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist0107NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CC8579OTHERNEVADABC/BS PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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