PHYLLIS ANNE TRAIL (NPI# 1508343484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508343484 |
Entity Type | Individual |
Full Name | PHYLLIS ANNE TRAIL |
Credential | RN, LMFT |
Practice Address |
850 Mill St Ste 100 Reno NV 89502-1463 |
Mailing Address |
Po Box 4521 Carson City NV 89702-4521 |
Practice Telephone | 7755386700 |
Practice Fax Number | 7756885878 |
Mailing Telephone | 7758889148 |
Enumeration Date | 2018-07-24 |
Last Update Date | 2018-07-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 106H00000X | Marriage & Family Therapist | MFT15312 | CA | Behavioral Health & Social Service Providers |
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN10245 | NV | Nursing Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3105 Chubasco Way, Carson City, NV 897016055 | 7758889148 |
Street Address |
850 MILL ST STE 100 |
City | RENO |
State | NV |
Zip Code | 89502-1463 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780627851 | Patricia Anne Romo-macaluso | Social Worker | 850 Mill St Ste 100, Reno, NV 89502-1463 | 2006-06-14 |
1376163162 | Well Care Services Reno, LLC | Case Management | 850 Mill St Ste 100, Reno, NV 89502-1463 | 2020-04-21 |
1659991446 | Medtrans Reno Casal Pllc | Case Management | 850 Mill St Ste 100, Reno, NV 89502-1463 | 2020-04-21 |
1710537725 | Kelly Leigh Farrington | Rehabilitation Practitioner | 850 Mill St Ste 100, Reno, NV 89502-1463 | 2019-09-12 |
1346809316 | Sherry Watts | Nurse Practitioner | 850 Mill St Ste 100, Reno, NV 89502-1463 | 2019-06-12 |
1396309407 | Homebase Care Faylona Pllc | Family Medicine | 850 Mill St Ste 100, Reno, NV 89502-1463 | 2019-04-24 |
1942863253 | Homebase Care Faylona Pllc | Counselor | 850 Mill St Ste 100, Reno, NV 89502-1463 | 2019-04-22 |
1598228595 | Medtrans Reno Casal Pllc | Clinic/Center | 850 Mill St Ste 100, Reno, NV 89502-1463 | 2019-04-08 |
1770076374 | New Hope Placement, LLC | Community/Behavioral Health | 850 Mill St Ste 100, Reno, NV 89502-1463 | 2018-06-08 |
1619468295 | Christine S Gwin | Social Worker | 850 Mill St Ste 100, Reno, NV 89502-1463 | 2018-05-19 |
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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 | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265501910 | Beverly G Cleff | Registered Nurse | 150 Country Estates Cir, Suite 103, Reno, NV 89511-4039 | 2006-11-07 |
1194744623 | Anne Elizabeth Wallace | Registered Nurse | 850 Mill St Ste 301, Reno, NV 89502-1484 | 2006-07-18 |
1922052414 | Terri Lynne Armerding | Registered Nurse | 745 W Moana Ln, Suite 100, Reno, NV 89509-4932 | 2006-05-20 |
1164944765 | Thomas Jackson Driggers | Registered Nurse | 790 Willow St, Reno, NV 89502-1304 | 2017-07-14 |
1922044569 | Coral Sue Paris | Registered Nurse | 745 W Moana Ln, Suite 100, Reno, NV 89509-4932 | 2006-06-21 |
1023051687 | Louise Marie Fernandes | Registered Nurse | 745 W Moana Ln, Suite 100, Reno, NV 89509-4932 | 2006-06-13 |
1346282431 | Alethea Sanford Rudd | Registered Nurse | 745 W Moana Ln, Suite 100, Reno, NV 89509-4932 | 2006-06-12 |
1649212614 | Monica Agustus Smith | Registered Nurse | 745 W Moana Ln, Suite 100, Reno, NV 89509-4932 | 2006-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720628530 | Jeannie Gutierrez | Registered Nurse | 240 S Humahuaca, Pahrump, NV 89048 | 2020-01-09 |
1831602325 | Edina Boros | Registered Nurse | 4370 S Grand Canyon Dr Apt 1100, Las Vegas, NV 89147-7114 | 2017-11-07 |
1780108662 | Diane Noreen Janke | Registered Nurse | 954 Ruddy Ct, Sparks, NV 89441-7805 | 2017-08-01 |
1235668518 | Merle Ambray Go | Registered Nurse | 1055 E Flamingo Rd, Apt 224, Las Vegas, NV 89119 | 2017-06-08 |
1023544301 | Kellie Marsh | Registered Nurse | 7604 Cruz Bay Ct, Las Vegas, NV 89128-7282 | 2017-05-05 |
1730615097 | Erica Zara | Registered Nurse | 2555 Red Springs Dr, Las Vegas, NV 89135-1512 | 2017-05-05 |
1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
1750767695 | Linda Busell | Registered Nurse | 2508 Living Rock St, Las Vegas, NV 89106-1464 | 2015-08-03 |
1366831224 | Arthur Kime | Registered Nurse | 3940 Copper Glen St, Las Vegas, NV 89129-7875 | 2015-01-15 |
1225335888 | R.u.s.h. Organization | Registered Nurse | 6212 Camino De Rosa, Las Vegas, NV 89108 | 2011-02-17 |
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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.