DR. KIMIKO LYNNE ISHIBASHI (NPI# 1114142494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114142494 |
| Entity Type | Individual |
| Full Name | DR. KIMIKO LYNNE ISHIBASHI |
| Credential | M.D. |
| Practice Address |
3725 Lakeside Drive Reno NV 89509 |
| Practice Telephone | 7757374707 |
| Practice Fax Number | 8775484385 |
| Mailing Telephone | 7757374707 |
| Mailing Fax Number | 8775484385 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 12595 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
3725 LAKESIDE DRIVE |
| City | RENO |
| State | NV |
| Zip Code | 89509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679870745 | Andrea Jean Cordell | Nurse Practitioner | 3725 Lakeside Drive, Reno, NV 89509 | 2011-02-24 |
| 1215121488 | Tammy Roesler | Specialist | 3725 Lakeside Drive, Reno, NV 89509 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283303 | Olson Professional Services, Pllc | Electrodiagnostic Medicine | 66305 S Mccarran Blvd. Ste A4, Reno, NV 89509 | 2018-07-30 |
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1063901155 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 604 West Moana Lane, Reno, NV 89509 | 2018-05-04 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1881104099 | Trish Lee Mcguire | Occupational Therapist | 540 W Plumb Lane, Suite 201, Reno, NV 89509 | 2017-10-03 |
| 1982113825 | Sasha Bond | Behavior Technician | 3500 Lakeside Ct. #101, Reno, NV 89509 | 2017-09-22 |
| 1124547930 | Sally M Higgins | Student in an Organized Health Care Education/Training Program | 740 California Ave, Reno, NV 89509 | 2017-09-12 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| 1407373533 | Luis Andres Garcia Lopez | Behavior Technician | 3500 Lakeside Ct., #101, Reno, NV 89509 | 2017-08-29 |
| 1184150757 | Nevada Educational and Therapy Solutions, LLC | Speech-Language Pathologist | 1101 W Moana Lane #7, Reno, NV 89509 | 2017-05-02 |
| Find all providers in zip 89509 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437528825 | Tammy Roesler Md PC | Pediatrics | 3725 Lakeside Dr, Reno, NV 89509-5239 | 2015-09-16 |
| 1952703779 | Mark E Swanson | Pediatrics | 5190 Neil Rd., #215, Reno, NV 98502 | 2014-09-24 |
| 1245596055 | The Medical Profession, LLC | Pediatrics | 5301 Reno Corporate Dr., Reno, NV 89511 | 2012-04-05 |
| 1972874170 | Mayenne Alonzo Karelitz | Pediatrics | 5010 Ventana Pkwy, Reno, NV 89511-5605 | 2012-01-19 |
| 1578859377 | Nancy Heinz Sader | Pediatrics | 7215 Lingfield Dr, Reno, NV 89502-9662 | 2011-06-21 |
| 1114217502 | Megan Jean Dory | Pediatrics | 645 N Arlington Ave Ste 620, Reno, NV 89503-4444 | 2011-04-19 |
| 1699917294 | Christina Elise Raman | Pediatrics | 6350 Mae Anne Ave Ste 3, Reno, NV 89523-4718 | 2009-03-27 |
| 1194970921 | The Speicher Medical Grp | Pediatrics | 75 Pringle # 301, Reno, NV 89502 | 2008-11-20 |
| 1235399767 | Ron Max Aryel | Pediatrics | 6548 South Mccarran Blvd., Suite A, Reno, NV 89509-6150 | 2008-06-09 |
| 1720276587 | Shaji Mathew Md., P.C. | Pediatrics | 3639 Warren Way, Suite #100, Reno, NV 89509 | 2007-10-05 |
| 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.