Healthcare Provider Details

I. General information

NPI: 1295066082
Provider Name (Legal Business Name): CRISTIN E. NEWKIRK-THOMPSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CRISTIN E. NEWKIRK M.D.

II. Dates (important events)

Enumeration Date: 01/19/2010
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13945 S VIRGINIA ST STE 632
RENO NV
89511-8930
US

IV. Provider business mailing address

1155 MILL ST # M14
RENO NV
89502-1576
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-5000
  • Fax: 775-982-3900
Mailing address:
  • Phone: 775-982-5262
  • Fax: 775-982-3900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20615
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number20615
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: