GRACE PEARL RAVENELLE (NPI# 1073032702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073032702 |
| Entity Type | Individual |
| Full Name | GRACE PEARL RAVENELLE |
| Practice Address |
4773 Caughlin Pkwy Ste 2 Reno NV 89519 |
| Mailing Address |
4773 Caughlin Pkwy Ste 2 Reno NV 89519-1012 |
| Practice Telephone | 7756772216 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4773 CAUGHLIN PKWY STE 2 |
| City | RENO |
| State | NV |
| Zip Code | 89519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669597621 | Terrie Lynn Velasquez | Marriage & Family Therapist | 4773 Caughlin Pkwy, Suite 2, Reno, NV 89519-1011 | 2007-03-20 |
| 1841729258 | Lena Hatzidopavlakis | Community Health Worker | 4773 Caughlin Pkwy, Suite 2, Reno, NV 89519 | 2017-06-08 |
| 1043748130 | Alyssa Jean Thompson | Community Health Worker | 4773 Caughlin Pkwy, Reno, NV 89519-1011 | 2017-06-01 |
| 1295268944 | Angelica Cheri Tollefsrud | Community Health Worker | 4773 Caughlin Pkwy, Suite 2, Reno, NV 89519-1011 | 2017-04-10 |
| 1043756984 | Jennifer Amanda O'neil | Community Health Worker | 4773 Caughlin Pkwy, Ste 2, Reno, NV 89519-1011 | 2017-01-17 |
| 1275078776 | Monique Lizbeth Mcfield | Community Health Worker | 4773 Caughlin Pkwy, Ste 2, Reno, NV 89519-1011 | 2016-12-20 |
| 1831640036 | Austin Carrow | Community Health Worker | 4773 Caughlin Pkwy, Reno, NV 89519-1011 | 2016-10-23 |
| 1023461688 | Leslie Parnell | Community Health Worker | 4773 Caughlin Pkwy, Ste 2, Reno, NV 89519-1011 | 2016-07-19 |
| 1780042432 | Corey Jessup | Community Health Worker | 4773 Caughlin Pkwy, Ste. 2, Reno, NV 89519-1011 | 2016-02-09 |
| 1700250487 | Sarah Thomas | Community Health Worker | 4773 Caughlin Pkwy, Ste 2, Reno, NV 89519-1011 | 2015-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912287 | Corazon Ilarina Ibarra | Preventive Medicine | 1495 Ridgeview Drive Suite 210, 1495 Ridgeview Drive Suite 210, Reno, NV 89519 | 2020-11-04 |
| 1073151411 | High Desert Endodontic Specialists | Dentist | 4104 Caughlin Square, 2, Reno, NV 89519 | 2019-12-17 |
| 1053840439 | David Mertz | Community Health Worker | 4773 Caughlin Parkway, Suite 2, Reno, NV 89519 | 2017-06-08 |
| 1649709072 | Sara Rumker | Community Health Worker | 4773 Caughlin Parkway Ste 2, Reno, NV 89519 | 2017-06-08 |
| 1437697406 | Jeanette Bradford | Counselor | 6008 Plumas Street Apt D, Reno, NV 89519 | 2017-02-09 |
| 1821549270 | Maple Star Nevada | Counselor | 4773 Caughlim Pkwy, Suite 2, Reno, NV 89519 | 2016-10-20 |
| 1366804296 | Susan Lisa Peacock | Speech-Language Pathologist | 4293 Cutting Horse Circle, Reno, NV 89519 | 2016-03-21 |
| 1548551518 | Jonathan Arnow | Specialist | 3301 Ponderosa Pine Court, Reno, NV 89519 | 2011-04-26 |
| 1407080757 | Stacey Edgington | Speech-Language Pathologist | 4210 Pinto Drive, Reno, NV 89519 | 2009-05-14 |
| 1376723213 | Lexey Shuron Parker | Obstetrics & Gynecology | 4005 Plateau Road, Reno, NV 89519 | 2007-11-08 |
| Find all providers in zip 89519 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557430 | Tamara Listinsky | Counselor | 4398 Dunkeld Rd, Reno, NV 89519-0947 | 2020-10-28 |
| 1295359636 | Shelby Vandermeer | Counselor | 1910 Valley Rd, Reno, NV 89512-1504 | 2020-06-02 |
| 1750921185 | Madison Burris | Counselor | 5941 Sapphire Ridge Ct, Reno, NV 89523-6218 | 2020-01-14 |
| 1528613577 | Donna Jean Dicarlo | Counselor | 9364 Holiday Ct, Reno, NV 89506-9620 | 2019-08-06 |
| 1821561549 | Marcus Nesbitt | Counselor | 3030 Roxbury Dr, Reno, NV 89523-6201 | 2019-01-04 |
| 1629560875 | Amanda Jo Boe | Counselor | 421 W Plumb Ln Ste 1, Reno, NV 89509-3766 | 2018-06-04 |
| 1396234357 | Gracia Bazenga Biselele | Counselor | 3295 Pierremont Rd, Reno, NV 89503-1936 | 2018-05-05 |
| 1740798545 | Jaquan Danevans Dupree | Counselor | 9065 Alsandair Ct, Reno, NV 89506-5953 | 2018-01-14 |
| 1255841417 | Steven Phillip Ing | Counselor | 3500 Lakeside Ct Ste 130, Reno, NV 89509-4865 | 2017-10-02 |
| 1598284028 | Agape of Nevada L.l.c | Counselor | 4524 China Rose Cir, Reno, NV 89502-7740 | 2017-09-15 |
| Find all providers in RENO | ||||
Please comment or provide details below to improve the information on GRACE PEARL RAVENELLE.
| 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.