MR. CRISTOBAL E CORDOVA (NPI# 1689009284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689009284 |
| Entity Type | Individual |
| Full Name | MR. CRISTOBAL E CORDOVA |
| Credential | DPT |
| Practice Address |
15 Mccabe Dr Suite 101 Reno NV 89511-5924 |
| Practice Telephone | 7757885599 |
| Practice Fax Number | 7757885598 |
| Mailing Telephone | 7757885599 |
| Mailing Fax Number | 7757885598 |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2730 | NV | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | LICENSE | 2730 | 01 |
| Street Address |
15 MCCABE DR SUITE 101 |
| 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 |
| 1639507775 | Renewed Health & Wellness Medicine, LLC | Clinic/Center | 15 Mccabe Dr, Suite 203, Reno, NV 89511-5924 | 2013-10-29 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734296 | Christi Maryjo Mannos | Specialist | 10655 Professional Cir Ste A, Reno, NV 89521-5840 | 2020-09-14 |
| 1538614771 | Lisa Gehring | Specialist | 3800 S Virginia St, Reno, NV 89502-6005 | 2016-08-17 |
| 1972910065 | Joseph Reinkemeyer | Specialist | 1281 Skyline Blvd, Reno, NV 89509-3585 | 2014-07-21 |
| 1558787408 | Medical Billing of Northern Nevada | Specialist | 1 E Liberty St Fl 6, Reno, NV 89501-2110 | 2014-03-14 |
| 1093071524 | Scott Bauer | Specialist | 3680 Grant Dr Ste C, Reno, NV 89509-5477 | 2012-04-10 |
| 1801188099 | Virginia A Kitzke | Specialist | 155 Lancaster Dr, Suite # 3a, Reno, NV 89506-1992 | 2011-05-06 |
| 1548551518 | Jonathan Arnow | Specialist | 3301 Ponderosa Pine Court, Reno, NV 89519 | 2011-04-26 |
| 1639474299 | Matthew Dittrich | Specialist | 6685 Enchanted Valley Dr, Reno, NV 89523-1758 | 2011-01-12 |
| 1831410901 | Jessika Sota | Specialist | 150 W Huffaker Ln Ste 105, Reno, NV 89511-2098 | 2010-06-11 |
| 1669798153 | Madelaine C Bodholdt | Specialist | 150 W Huffaker Lane, Ste 105, Reno, NV 89511-2092 | 2010-04-09 |
| 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.