SIERRA PEDIATRIC BLOOD AND CANCER CONSORTIUM (NPI# 1417320540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417320540 |
| Entity Type | Organization |
| Organization Name | SIERRA PEDIATRIC BLOOD AND CANCER CONSORTIUM |
| Practice Address |
75 Pringle Way Reno NV 89502-1464 |
| Practice Telephone | 7752848989 |
| Practice Fax Number | 7754321099 |
| Mailing Telephone | 7752841913 |
| Mailing Fax Number | 7754321099 |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2016-07-25 |
| Authorized Official Name | MRS. SHERRI RAE RICE (CEO, AHN) |
| Authorized Official Telephone | 7752257839 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
75 PRINGLE WAY |
| City | RENO |
| State | NV |
| Zip Code | 89502-1464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043218431 | Jeffrey K Beall | Otolaryngology | 75 Pringle Way, Suite 509, Reno, NV 89502-1464 | 2005-07-11 |
| 1497238257 | Tiffany Broce | Nurse Practitioner | 75 Pringle Way, Reno, NV 89502-1464 | 2018-09-07 |
| 1346772910 | Laura Michelle Orange | Registered Nurse | 75 Pringle Way, Reno, NV 89502-1464 | 2017-04-01 |
| 1285171249 | Sierra Infectious Disease | Clinic/Center | 75 Pringle Way, Suite 705, Reno, NV 89502-1464 | 2017-01-27 |
| 1023550704 | Heather Nicole Carroll | Nurse Practitioner | 75 Pringle Way, Suite 512, Reno, NV 89502-1464 | 2016-11-10 |
| 1548712771 | Gomez Kozar Mcelreath Smith | Nurse Practitioner | 75 Pringle Way, Suite 1002, Reno, NV 89502-1464 | 2016-11-04 |
| 1407219801 | Amy Gardner | Physician Assistant | 75 Pringle Way, Suite 804, Reno, NV 89502-1464 | 2016-04-01 |
| 1306216163 | Karen E Dosh | Registered Nurse | 75 Pringle Way, Suite 1002, Reno, NV 89502-1464 | 2015-10-05 |
| 1811331713 | Chiyo Wendy Takehara | Family Medicine | 75 Pringle Way, Suite 601, Reno, NV 89502 | 2013-04-22 |
| 1922441880 | Scott Michael Wallace | Pediatrics | 75 Pringle Way, Ste 300, Reno, NV 89502-1464 | 2013-04-10 |
| 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 | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568909356 | Nevada Pediatric Hematology Oncology (hastings) PC | Pediatrics | 5301 Reno Corporate Dr, Reno, NV 89511-2381 | 2017-01-31 |
| 1821317728 | Jacob P Zucker | Pediatrics | 1155 Mill St, Sierra Tower, 5th Floor, Reno, NV 89502 | 2010-05-18 |
| 1063508646 | Max Coppes | Pediatrics | 75 Pringle Way, Ste 505, Reno, NV 89502-1464 | 2006-10-04 |
| 1528177367 | James Martin Johnston | Pediatrics | 75 Pringle Way Ste 505, Reno, NV 89502-1469 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669565982 | Jonathan Bernstein | Pediatrics | 12128 Montura Rosa Pl, Las Vegas, NV 89138-4554 | 2006-09-30 |
| 1740290402 | Nik F Nik Abdul Rashid | Pediatrics | 8352 W Warm Springs Rd Ste 200, Las Vegas, NV 89113 | 2006-08-08 |
| 1225440894 | Jerry Reeves | Pediatrics | 6830 W Oquendo Rd, Suite 102, Las Vegas, NV 89118-2539 | 2014-05-29 |
| 1215234356 | Daisy Catalina Cortes | Pediatrics | 8352 W Warm Springs Rd Ste 200, Las Vegas, NV 89113-3629 | 2011-02-25 |
| 1578740874 | Waseem Soud Alhushki | Pediatrics | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2008-01-29 |
| 1700895117 | Ronald M Kline | Pediatrics | 3196 S Maryland Pkwy, Suite 400, Las Vegas, NV 89109-2305 | 2006-08-05 |
| 1124035266 | Pamela Helen-heilge Kempert | Pediatrics | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2006-08-02 |
| 1184656613 | Kanyalakshmi Ayyanar | Pediatrics | One Breakthrough Way, Las Vegas, NV 89135 | 2006-07-07 |
| 1386680718 | Joseph L Lasky IIi | Pediatrics | 1 Breakthrough Way, Las Vegas, NV 89135-3011 | 2006-06-22 |
Please comment or provide details below to improve the information on SIERRA PEDIATRIC BLOOD AND CANCER CONSORTIUM.
| 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.