JEREMY SCOTT LANDIS (NPI# 1609391895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609391895 |
| Entity Type | Individual |
| Full Name | JEREMY SCOTT LANDIS |
| Practice Address |
315 Record St Ste 103 Reno NV 89512-3327 |
| Mailing Address |
4190 Neil Rd Apt A Reno NV 89502-5154 |
| Practice Telephone | (775) 348-8811 |
| Practice Fax Number | 7753488830 |
| Mailing Telephone | 7752954492 |
| Mailing Fax Number | 7753488830 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
315 RECORD ST STE 103 |
| City | RENO |
| State | NV |
| Zip Code | 89512-3327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063706471 | Jasmine Elizabeth Troop | Counselor | 315 Record St Ste 103, Reno, NV 89512-3327 | 2011-06-02 |
| 1467060095 | Stacy J Mitchell | Counselor | 315 Record St Ste 103, Reno, NV 89512-3327 | 2020-07-20 |
| 1447752357 | Mireya Duron Rodriguez | Behavior Technician | 315 Record St Ste 103, Reno, NV 89512-3327 | 2018-03-07 |
| 1346741469 | Dominique Nguyen | Behavior Technician | 315 Record St Ste 103, Reno, NV 89512-3327 | 2018-02-23 |
| 1811498975 | Steven Bowen | Behavior Technician | 315 Record St Ste 103, Reno, NV 89512-3327 | 2018-02-23 |
| 1114425485 | Melissa Vega | Nurse Practitioner | 315 Record St Ste 103, Reno, NV 89512-3327 | 2018-01-31 |
| 1548774946 | Molly Merrow Nicholson | Registered Nurse | 315 Record St Ste 103, Reno, NV 89512-3327 | 2017-11-21 |
| 1114431806 | Joseph J Garrett | Behavior Technician | 315 Record St Ste 103, Reno, NV 89512-3327 | 2017-11-17 |
| 1770095549 | Syreeta Whitelow | Licensed Practical Nurse | 315 Record St Ste 103, Reno, NV 89512-3327 | 2017-11-01 |
| 1821500844 | Pamalynn Rios | Behavior Technician | 315 Record St Ste 103, Reno, NV 89512-3327 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574064 | State of Nevada | Psychiatric Residential Treatment Facility | 2655 Enterprise Dr, Reno, NV 89512 | 2020-03-24 |
| 1730611690 | Ivette Velazquez | Behavior Technician | 1370 Haddock Dr., Reno, NV 89512 | 2017-03-30 |
| 1699221846 | Juan Castillo | Contractor | 2560 E 9th St, Reno, NV 89512 | 2016-08-28 |
| 1902280456 | Golden Valley Group Care II | Custodial Care Facility | 1140 Manhattan St, Reno, NV 89512 | 2015-07-15 |
| 1497180053 | Meghan Nicole Pefley | Physical Therapist | 2667 Enterprise Road, Reno, NV 89512 | 2013-09-13 |
| 1104136993 | St. Paul Homecare 1 | Assisted Living Facility | 1500 Manhattan St, Reno, NV 89512 | 2010-10-14 |
| 1184854424 | Pamela Sue Hill | Specialist | 1240 East 9th Street, West Hills Hospital, Reno, NV 89512 | 2009-07-21 |
| 1477790012 | Nevada Cvs Pharmacy, L.L.C. | Pharmacy | 2890 Northtowne Lane, Reno, NV 89512 | 2009-01-20 |
| 1235328006 | American Current Care Pa | Clinic/Center | 1530 E 6th Street, Reno, NV 89512 | 2007-10-17 |
| 1063539666 | Michael Robert Panicari | Preventive Medicine | 1530 E. 6th Street, Reno, NV 89512 | 2007-03-26 |
| Find all providers in zip 89512 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326672 | Felicia Kampf | Counselor | 1030 Holcomb Ave, Reno, NV 89502-2427 | 2020-05-04 |
| 1255993432 | Monica Sarai Real | Counselor | 2055 Red Willow Dr, Reno, NV 89521-4320 | 2019-07-08 |
| 1083104087 | Lisa's Rehabilitation Services | Counselor | 3650 Warren Way Ste B2, Reno, NV 89509-5240 | 2018-05-15 |
| 1740791458 | Tami Leigh Albitre-holland | Counselor | 3100 Mill St Ste 215, Reno, NV 89502-2217 | 2017-10-20 |
| 1659805570 | Lee Ann Malone | Counselor | 200 W 1st St, Ste 200, Reno, NV 89503 | 2017-04-18 |
| 1114460037 | Stuart Alan Finfer | Counselor | 237 S Sierra St, Reno, NV 89501-1939 | 2016-11-25 |
| 1023568490 | Rebekah Couper | Counselor | 1335 Yori Ave, Reno, NV 89502-2726 | 2016-10-10 |
| 1457807166 | Christina M. Brown | Counselor | 1015 N. Sierra St., Reno, NV 89503-3722 | 2016-09-01 |
| 1811442189 | Jessica Branton | Counselor | 900 W 1st St Ste 2, Reno, NV 89503-5675 | 2016-08-16 |
| 1982050167 | Carols Schaye | Counselor | 223 Marsh Ave, Reno, NV 89509-1626 | 2016-05-06 |
| 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.