RENEWED HEALTH & WELLNESS MEDICINE, LLC (NPI# 1639507775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639507775 |
| Entity Type | Organization |
| Organization Name | RENEWED HEALTH & WELLNESS MEDICINE, LLC |
| Practice Address |
15 Mccabe Dr Suite 203 Reno NV 89511-5924 |
| Mailing Address |
Po Box 17892 Reno NV 89511-1033 |
| Practice Telephone | 7758537669 |
| Practice Fax Number | 8553130186 |
| Mailing Telephone | 7758537669 |
| Mailing Fax Number | 8553130186 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2014-01-09 |
| Authorized Official Name | DAN G SNOW (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7758537669 |
| Authorized Official Credential | M.D., P.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
14778 | NV | Ambulatory Health Care Facilities |
| Street Address |
15 MCCABE DR SUITE 203 |
| City | RENO |
| State | NV |
| Zip Code | 89511-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518954221 | Alison A Olsen | Physical Therapist | 15 Mccabe Dr, Suite 101, Reno, NV 89511-5924 | 2005-09-29 |
| 1720461882 | Karen Wagner | Nurse Practitioner | 15 Mccabe Dr, Ste 100, Reno, NV 89511-5924 | 2015-07-07 |
| 1558742296 | Kevin S Carr | Physical Therapist | 15 Mccabe Dr, Suite 101, Reno, NV 89511-5924 | 2015-06-17 |
| 1376935015 | Anne Marie Moos | Nurse Practitioner | 15 Mccabe Dr, Suite 203, Reno, NV 89511-5924 | 2015-03-03 |
| 1467853192 | Mikaela Jo Hildebrandt | Psychologist | 15 Mccabe Dr, Suite 200, Reno, NV 89511 | 2014-09-12 |
| 1689009284 | Cristobal E Cordova | Specialist | 15 Mccabe Dr, Suite 101, Reno, NV 89511-5924 | 2013-09-13 |
| 1346515608 | Victoria Caluya | Massage Therapist | 15 Mccabe Dr, Suite 203, Reno, NV 89511-5924 | 2012-03-19 |
| 1124351408 | Marla J Brennan | Physical Therapist | 15 Mccabe Dr, Suite 101, Reno, NV 89511-5924 | 2009-09-17 |
| 1427204486 | Nicole C Welsh | Pediatrics | 15 Mccabe Dr, Ste 100, Reno, NV 89511-5924 | 2008-08-11 |
| 1982899498 | Barbara Prupas | Psychologist | 15 Mccabe Dr, Ste 200, Reno, NV 89511-5924 | 2007-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1073078945 | Board of Regents Nevada System of Higher Education | Clinic/Center | 1664 N Virginia St # Ms 0285, Reno, NV 89557-0001 | 2019-02-05 |
| 1619597846 | Capability Health & Human Services | Clinic/Center | 5250 Neil Rd Ste 200, Reno, NV 89502-6567 | 2020-04-17 |
| 1275898975 | Saint Marys Urgent Care LLC | Clinic/Center | 18653 Wedge Pkwy, Suite 300, Reno, NV 89511-3323 | 2012-07-09 |
| 1912285131 | Saint Mary's Multi-specialty Clinic, Inc. | Clinic/Center | 18653 Wedge Pkwy, Suite 300, Reno, NV 89511-3323 | 2011-07-22 |
| 1497780167 | Nevada Family Practice Residency Program, Inc. | Clinic/Center | 745 W Moana Ln, Suite 100, Reno, NV 89509-4932 | 2006-07-11 |
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| 1134601230 | Banner Churchill Community Hospital | Clinic/Center | 1020 New River Pkwy Ste 100, Fallon, NV 89406-7801 | 2018-09-05 |
| 1295227379 | Ram K Singh Md Ltd | Clinic/Center | 4510 S Eastern Ave Ste 3, Las Vegas, NV 89119-6118 | 2018-06-04 |
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| 1023420759 | Women's Cancer Center Division of Colorectal Surgery | Clinic/Center | 3131 La Canada St Ste 241, Las Vegas, NV 89169-2588 | 2014-05-29 |
| Find all providers with the same taxonomy | ||||
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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.