CAITLIN M CLARKIN (NPI# 1174001614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174001614 |
| Entity Type | Individual |
| Full Name | CAITLIN M CLARKIN |
| Credential | PA-C |
| Practice Address |
5590 Kietzke Ln Reno NV 89511-3019 |
| Practice Telephone | 7753232080 |
| Practice Fax Number | 7753238216 |
| Mailing Telephone | 7753232080 |
| Mailing Fax Number | 7753238216 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1998 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5590 KIETZKE LN |
| City | RENO |
| State | NV |
| Zip Code | 89511-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419554 | Joseph R Walker | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2005-06-30 |
| 1336767417 | Jee Eun Lee | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2020-07-06 |
| 1700364338 | Rachel A Chattin | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2018-08-06 |
| 1124492442 | Jessyca Luke | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2015-11-24 |
| 1508120940 | Jennifer Keller | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2012-06-29 |
| 1093079998 | Andrea Renee Black | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2012-06-26 |
| 1942589262 | Ashlie D. Teixeira-smith | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2011-08-04 |
| 1306136452 | Michael Kevin Moore | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511 | 2011-04-11 |
| 1801107891 | Jennifer Marie Minard | Registered Nurse | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2010-06-24 |
| 1891027991 | Jennifer Renee Price | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2010-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194831529 | Suzanne E Flint | Physician Assistant | 555 N. Arlington Avenue, Reno, NV 89503-4724 | 2006-08-21 |
| 1609829274 | Cameron Michael Bergin | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2006-05-17 |
| 1336111061 | Terri L Elliott | Physician Assistant | 689 Sierra Rose Dr Ste B, Reno, NV 89511-2076 | 2006-02-06 |
| 1740271618 | Joseph Lawrence Olivarez | Physician Assistant | 9990 Double R Blvd, Suite 200, Reno, NV 89521-6014 | 2005-10-31 |
| 1962063016 | Jordan Kazuo Williams | Physician Assistant | 555 N Arlington Ave, Reno, NV 89503-4723 | 2019-06-27 |
| 1770143356 | Cory Charles Wilcox | Physician Assistant | 555 N Arlington Ave, Reno, NV 89503-4723 | 2019-06-17 |
| 1417513383 | Sydnii Mari Ray | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2019-05-15 |
| 1700343720 | Rachel Difelice | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2019-02-26 |
| 1265916803 | Matthew Thomas Pearce | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-09-19 |
| 1407219801 | Amy Gardner | Physician Assistant | 75 Pringle Way, Suite 804, Reno, NV 89502-1464 | 2016-04-01 |
| 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.