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PACK PEDIATRICS LLC
NPI 1134957822
Pediatrics in Reno, NV

Active since July 24, 2024CLIA 29D1077429 · Waiver
5301 RENO CORPORATE DR, RENO, NV 89511(775) 329-5555 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Pack Pediatrics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACK PEDIATRICS LLC (NPI 1134957822) is a healthcare organization registered as a pediatrics in Reno, Nevada and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Shawnice Kraeber, Provider, Owner, as its authorized official.

NPPES Registry Identity

NPI1134957822
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePACK PEDIATRICS LLC
Location Address5301 RENO CORPORATE DRReno, NV 89511-2381
Mailing Address5301 Reno Corporate DrReno, NV 89511-2381
Phone(775) 329-5555
Organization SubpartNo
Authorized OfficialShawnice KraeberProvider, Owner · (775) 225-4968
Enumeration DateJuly 24, 2024
NPPES CertifiedJuly 24, 2024
✔ NPI 1134957822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5301 RENO CORPORATE DR, Reno, NV 89511
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D1077429

Pack Pediatrics · Reno, NV
Active · expires May 9, 2028
CLIA Number29D1077429
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorShawnice Kraeber
Laboratory Phone(775) 329-5555
Laboratory LocationPack Pediatrics5301 Reno Corportate Dr, Reno, NV 89511
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH IVANE VYDRA DO
Pediatrics
5301 RENO CORPORATE DR
RENO, NV 89511
Washoe County (775) 329-5555
SHAWNICE KRAEBER MD
Pediatrics
5301 RENO CORPORATE DR
RENO, NV 89511
Washoe County (775) 329-5555
NEVADA PEDIATRIC HEMATOLOGY ONCOLOGY (HASTINGS) PC
Pediatrics (Pediatric Hematology-Oncology)
5301 RENO CORPORATE DR
RENO, NV 89511
Washoe County (775) 683-9010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pack Pediatrics LLC's NPI number?

The NPI number for Pack Pediatrics LLC is 1134957822. It was assigned to this organization in the NPPES registry on July 24, 2024.

Where is Pack Pediatrics LLC located?

Pack Pediatrics LLC is located at 5301 Reno Corporate Dr, Reno, NV 89511. The listed phone number is (775) 329-5555.

What is Pack Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pack Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D1077429) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pack Pediatrics LLC was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.