OrganizationActive
State of Nevada
NPI 1013243450 · Internal Medicine Physician · Sparks, NV
Provider details
- NPI number
- 1013243450
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- State of Nevada
- Organization subpart
- Yes
- Authorized official
- Elizabeth O'Brien, Business Manager(775) 688-2030
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
480 Galletti Way
Sparks, NV 89431-5564
Phone: (775) 688-2001
Street-level locationGet directions
Mailing address
480 Galletti Way
Sparks, NV 89431-5564
Other names (DBA / former)
- Doing business as
- Northern Nevada Adult Mental Health Services
Registry dates
- Enumerated
- 2009-10-20
- Last updated
- 2009-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.