EVANGELINE BELTEJAR-DIFUNTORUM (NPI# 1053771907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053771907 |
| Entity Type | Individual |
| Full Name | EVANGELINE BELTEJAR-DIFUNTORUM |
| Practice Address |
700 Sienna Station Way Reno NV 89512-1363 |
| Practice Telephone | 7754705313 |
| Practice Fax Number | 7754705191 |
| Mailing Telephone | 7754705313 |
| Mailing Fax Number | 7754705191 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 057 | 05 |
| Street Address |
700 SIENNA STATION WAY |
| City | RENO |
| State | NV |
| Zip Code | 89512-1363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841654100 | Grandmother's Crib | Clinic/Center | 700 Sienna Station Way, Reno, NV 89512-1363 | 2016-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574064 | State of Nevada | Psychiatric Residential Treatment Facility | 2655 Enterprise Dr, Reno, NV 89512 | 2020-03-24 |
| 1730611690 | Ivette Velazquez | Behavior Technician | 1370 Haddock Dr., Reno, NV 89512 | 2017-03-30 |
| 1699221846 | Juan Castillo | Contractor | 2560 E 9th St, Reno, NV 89512 | 2016-08-28 |
| 1902280456 | Golden Valley Group Care II | Custodial Care Facility | 1140 Manhattan St, Reno, NV 89512 | 2015-07-15 |
| 1497180053 | Meghan Nicole Pefley | Physical Therapist | 2667 Enterprise Road, Reno, NV 89512 | 2013-09-13 |
| 1104136993 | St. Paul Homecare 1 | Assisted Living Facility | 1500 Manhattan St, Reno, NV 89512 | 2010-10-14 |
| 1184854424 | Pamela Sue Hill | Specialist | 1240 East 9th Street, West Hills Hospital, Reno, NV 89512 | 2009-07-21 |
| 1477790012 | Nevada Cvs Pharmacy, L.L.C. | Pharmacy | 2890 Northtowne Lane, Reno, NV 89512 | 2009-01-20 |
| 1235328006 | American Current Care Pa | Clinic/Center | 1530 E 6th Street, Reno, NV 89512 | 2007-10-17 |
| 1063539666 | Michael Robert Panicari | Preventive Medicine | 1530 E. 6th Street, Reno, NV 89512 | 2007-03-26 |
| Find all providers in zip 89512 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658990 | Nandish Apurva Sheth | Case Manager/Care Coordinator | 1350 Grand Summit Dr Apt 272, Reno, NV 89523-2582 | 2020-04-22 |
| 1174185979 | Lazell Smith | Case Manager/Care Coordinator | 6490 S Mccarran Blvd Ste C21, Reno, NV 89509-6123 | 2019-07-01 |
| 1275003360 | Carly Noble | Case Manager/Care Coordinator | 1201 Terminal Way Ste 200, Reno, NV 89502-3258 | 2018-11-30 |
| 1790268266 | Jessica House | Case Manager/Care Coordinator | 4600 Kietzke Ln Ste H182, Reno, NV 89502-5042 | 2018-09-11 |
| 1962912204 | Kacey Mcguire | Case Manager/Care Coordinator | 1350 Grand Summit Dr Apt 81, Reno, NV 89523-2556 | 2017-09-30 |
| 1518498997 | Ethan Sharpe | Case Manager/Care Coordinator | 890 Mill St Ste 300, Reno, NV 89502-1436 | 2017-03-27 |
| 1356881403 | Larry Don Jordan | Case Manager/Care Coordinator | 2435 Jordan Hill Ln, Reno, TX 75462-3143 | 2017-03-07 |
| 1821448473 | Amber Black | Case Manager/Care Coordinator | 5919 Bankside Way, Reno, NV 89523-2527 | 2016-06-14 |
| 1053760652 | Melissa Mcgovern | Case Manager/Care Coordinator | 659 Ibis Ln, Reno, NV 89503-3925 | 2016-06-06 |
| 1174901813 | Kylee Spring | Case Manager/Care Coordinator | 600 Mill Street, Reno, NV 89502 | 2015-05-14 |
| Find all providers in RENO | ||||
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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.