SYDNII MARI RAY (NPI# 1417513383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417513383 |
| Entity Type | Individual |
| Full Name | SYDNII MARI RAY |
| Credential | PAC |
| Practice Address |
9990 Double R Blvd Ste 200 Reno NV 89521-4833 |
| Mailing Address |
5310 Kietzke Ln Ste 104 Reno NV 89511-2043 |
| Practice Telephone | 5594747888 |
| Mailing Telephone | 5594747888 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2187 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NCCPA ID | 1169274 | 01 |
| NV | STATE MEDICAL LICENSE | PA2187 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 518 Northstar Dr, Reno, NV 895034032 | 5594747888 |
| Street Address |
9990 DOUBLE R BLVD STE 200 |
| City | RENO |
| State | NV |
| Zip Code | 89521-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609829274 | Cameron Michael Bergin | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2006-05-17 |
| 1235730474 | Alexandra Maie Gerlach | Physical Therapist | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2020-11-04 |
| 1184286015 | Michelle Mette Forman | Physical Therapist | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2019-07-01 |
| 1700343720 | Rachel Difelice | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2019-02-26 |
| 1639645625 | Britt Elizabeth Bickert | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-10-17 |
| 1265916803 | Matthew Thomas Pearce | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-09-19 |
| 1093296741 | Kamariah M Baker | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-08-21 |
| 1538649488 | Christopher Nathan Wilson | Physical Therapy Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-08-20 |
| 1386138519 | Lynch Neuromonitoring Initiatives Ltd | Electrodiagnostic Medicine | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-06-20 |
| 1780101733 | Lauren Oxford | Physical Therapist | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2017-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003266032 | Matthew Gordon | Family Medicine | 10539 Professional Cir Ste 200, Reno, NV 89521 | 2016-06-21 |
| 1003297219 | Erin Snell | Social Worker | 2374 Cartwright Rd, Reno, NV 89521 | 2015-06-12 |
| 1649696766 | Passport Health Holdings, LLC. | Preventive Medicine | 9190 Double Diamond Parkway, # 131, Reno, NV 89521 | 2014-03-13 |
| 1538585146 | Francis Thomas Webb | Chiropractor | 9393 Gateway Drive, Suite L, Reno, NV 89521 | 2014-03-07 |
| 1811336753 | Hans Peter Gray | Dentist | 1141 Steamboat Pkwy Ste 900, Reno, NV 89521 | 2013-06-24 |
| 1194162990 | Nevada Speech and Therapy Group | Speech-Language Pathologist | 1380 High Chaparral Drive, Reno, NV 89521 | 2013-06-03 |
| 1881934834 | Cindy Lynn Barnes | Occupational Therapist | 1600 Mountain Lane, Reno, NV 89521 | 2013-02-27 |
| 1508105016 | Shannon Marie Servi | Social Worker | 9060 Double Diamond Pkwy # 2-b, Reno, NV 89521 | 2013-02-04 |
| 1376853028 | Steven Michael Bilach | Specialist/Technologist, Other | 15025 Tourmaline Dr, Reno, NV 89521 | 2010-10-15 |
| 1528377512 | Kendra Brooks Newsome | Behavioral Analyst | 9408 Double R. Suite B, Reno, NV 89521 | 2010-09-24 |
| Find all providers in zip 89521 | ||||
| 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 |
| 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 |
| 1174001614 | Caitlin M Clarkin | Physician Assistant | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2018-08-06 |
| 1407219801 | Amy Gardner | Physician Assistant | 75 Pringle Way, Suite 804, Reno, NV 89502-1464 | 2016-04-01 |
| Find all providers in RENO | ||||
Please comment or provide details below to improve the information on SYDNII MARI RAY.
| 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.