AMAYA DRAKE (NPI# 1336610997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336610997 |
| Entity Type | Individual |
| Full Name | AMAYA DRAKE |
| Credential | PA-C |
| Practice Address |
975 Ryland St Ste 100 Reno NV 89502-1669 |
| Mailing Address |
850 Harvard Way Reno NV 89502-2055 |
| Practice Telephone | 7759825000 |
| Practice Fax Number | 7759825225 |
| Mailing Telephone | 7759825262 |
| Mailing Fax Number | 7759825496 |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2019-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2076 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NV MEDICAL LICENSURE BOARD | PA2076 | 01 |
| Street Address |
975 RYLAND ST STE 100 |
| City | RENO |
| State | NV |
| Zip Code | 89502-1669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053384107 | Robert Tucker Thole | Family Medicine | 975 Ryland St Ste 100, Reno, NV 89502 | 2006-02-09 |
| 1548809569 | Andrew J Kossol | Physician Assistant | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2019-12-23 |
| 1225688187 | Lindsey Marie Hall | Nurse Practitioner | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2019-09-12 |
| 1801446760 | Gregory K Burnett | Emergency Medicine | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2019-09-12 |
| 1366000606 | Luke C Gentner | Physician Assistant | 975 Ryland St Ste 100, Reno, NV 89502 | 2019-06-02 |
| 1679038848 | Jillian Marie Morris | Physician Assistant | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2019-02-01 |
| 1841761277 | Hometown Health Management Company | Emergency Medicine | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2018-12-11 |
| 1861969214 | Dalton E James | Physician Assistant | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2018-10-24 |
| 1063988343 | Jordan Williams | Physician Assistant | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2018-10-15 |
| 1992270318 | Erin Lee Hill | Nurse Practitioner | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2018-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285093989 | Lauren Ashley Colpo | Physician Assistant | 4760 Townsite Rd, Reno, NV 89511-9067 | 2016-02-23 |
| 1023350709 | Karie King | Physician Assistant | 10085 Double R Blvd Ste 120, Reno, NV 89521-4867 | 2013-03-20 |
| 1700036506 | Sheila Quinn | Physician Assistant | 640 W Moana Ln Ste 2, Reno, NV 89509-4857 | 2008-09-29 |
| 1336318583 | Valerie Dianne Leitko | Physician Assistant | 1950 Villanova Dr, Reno, NV 89502-3142 | 2008-02-21 |
| 1700902012 | Christine Burns | Physician Assistant | 6255 Sharlands Ave Ste C, Reno, NV 89523-2882 | 2007-03-21 |
| 1447297825 | Nancy Ann Inman | Physician Assistant | Minute Clinic 9586, 55 Damonte Ranch Pkwy, Reno, NV 89521 | 2006-06-02 |
| 1154313666 | Tracy Birkner | Physician Assistant | 645 North Arlington, Suite 440, Reno, NV 89503-4451 | 2005-08-19 |
| 1639645625 | Britt Elizabeth Bickert | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-10-17 |
| 1093296741 | Kamariah M Baker | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-08-21 |
| 1033663265 | Ashley Owens | Physician Assistant | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2016-08-04 |
| 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.