FORT MCDERMITT TRIBE (NPI# 1407395304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407395304 |
| Entity Type | Organization |
| Organization Name | FORT MCDERMITT TRIBE |
| Other Organization Name | FORT MCDERMITT WELLNESS CENTER |
| Practice Address |
112 No Reservation Rd Mcdermitt NV 89421-0315 |
| Practice Telephone | 7755328522 |
| Practice Fax Number | 7755328024 |
| Mailing Telephone | 7755328522 |
| Mailing Fax Number | 7755328024 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | VALERIE BARR (CFO) |
| Authorized Official Telephone | 7755328259 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| Fort McDermitt Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679012579 | Fort Mcdermitt Tribe | Counselor | 112 No Reservation Road, Mcdermitt, NV 89421-0315 | 2017-02-13 |
| 1285173773 | Fort Mcdermitt Tribe | Dentist | 112 No Reservation Rd, Mcdermitt, NV 89421-0315 | 2017-02-16 |
| 1124567995 | Fort Mcdermitt Tribe | Dentist | 112 No Reservation Road, Mcdermitt, NV 89421-0315 | 2017-02-14 |
| 1235678137 | Fort Mcdermitt Tribe | Optometrist | 112 No Reservation Rd, Mcdermitt, NV 89421-0315 | 2017-02-13 |
| Street Address |
112 NO RESERVATION RD |
| City | MCDERMITT |
| State | NV |
| Zip Code | 89421-0315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801348024 | Fort Mcdermitt Wellness Center | Clinic/Center | 112 No Reservation Rd, Mcdermitt, NV 89421-0315 | 2016-11-04 |
| 1285173773 | Fort Mcdermitt Tribe | Dentist | 112 No Reservation Rd, Mcdermitt, NV 89421-0315 | 2017-02-16 |
| 1235678137 | Fort Mcdermitt Tribe | Optometrist | 112 No Reservation Rd, Mcdermitt, NV 89421-0315 | 2017-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245627553 | Tracy Marshall | Licensed Practical Nurse | 112 N. Reservation Rd, Mcdermitt, NV 89421 | 2015-04-24 |
| 1043562101 | Brandon Joseph Grow | Emergency Medical Technician, Paramedic | 20 Olavarria, Ft. Mcdermitt E.m.s., Mcdermitt, NV 89421 | 2012-10-12 |
| 1871845958 | David Gerald Cameron | Emergency Medical Technician, Paramedic | 20 Olivarria, Ft. Mcdermitt Ems, Mcdermitt, NV 89421 | 2012-10-12 |
| 1386917011 | Wendy Jewel Dexter | Dietitian, Registered | 112 North Reservation Rd., Mcdermitt, NV 89421 | 2012-02-10 |
| 1285936351 | Usphs, Indian Health Service, Schurz | Ambulance | 20 Olivarria Street, Mcdermitt, NV 89421 | 2010-11-23 |
| 1518416577 | Public Health Service Ihs Mcdermitt Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 112 North Reservation Road, Mcdermitt, NV 89421 | 2016-09-30 |
| 1457610131 | Thelma Rose Simon | Counselor | 112 North Reservation Road, Fort Mcdermitt Indian Health Service, Mcdermitt, NV 89421 | 2012-05-15 |
| 1275820524 | Rodney Dale Burow | Physician Assistant | 112 North Reservation Road, Ihs Ft. Mcdermitt Clinic, Mcdermitt, NV 89421 | 2011-07-07 |
| 1194029322 | Phs Schurz Indian Health Service | Clinic/Center | 112 North Reservation Road, Mcdermitt, NV 89421 | 2011-01-03 |
| 1871634360 | Leora Rose Greenwood | Physician Assistant | 112 North Reservation Road, Mcdermitt, NV 89421-0055 | 2007-02-09 |
| Find all providers in zip 89421 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386917011 | Wendy Jewel Dexter | Dietitian, Registered | 112 North Reservation Rd., Mcdermitt, NV 89421 | 2012-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043986 | Rhiannon Garcia | Dietitian, Registered | 2146 Fountain Springs Dr, Henderson, NV 89074-1576 | 2020-11-02 |
| 1386242394 | Shannon N Gist | Dietitian, Registered | 871 Coronado Center Dr Ste 261, Henderson, NV 89052-3977 | 2020-10-12 |
| 1619574647 | Sedona Kathryn Mazza | Dietitian, Registered | 1513 Wildrose Dr, Gardnerville, NV 89410-5115 | 2020-10-02 |
| 1780297077 | Alexa Eisenberg | Dietitian, Registered | 4227 Pacifico Ln, Las Vegas, NV 89135-2525 | 2020-08-26 |
| 1710598727 | Susan Rahal Chapman | Dietitian, Registered | 2776 Randolph Dr, Reno, NV 89502-4959 | 2020-08-13 |
| 1669082681 | Joel Paniagua Soto | Dietitian, Registered | 6345 E Chinook Ct, Sun Valley, NV 89433-6628 | 2020-08-04 |
| 1881203552 | Serena Marie Berman | Dietitian, Registered | 1810 E Sahara Ave Ste 122, Las Vegas, NV 89104-3707 | 2020-07-28 |
| 1689292054 | Jessica Ann Galland | Dietitian, Registered | 1054 Dancing Vines Ave, Las Vegas, NV 89183-6320 | 2020-07-11 |
| 1528683547 | Candace Joyce Haworth | Dietitian, Registered | 5950 Rose Sage St, North Las Vegas, NV 89031-5050 | 2020-06-15 |
| 1497378723 | Nutrition 4 Body and Mind LLC | Dietitian, Registered | 6671 S. Las Vegas Blvd., Bldg. D, Suite 210, Las Vegas, NV 89119-3273 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FORT MCDERMITT TRIBE.
| 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.