CALVIN WAYNE CRIDDLE JR. (NPI# 1710111919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710111919 |
| Entity Type | Individual |
| Full Name | CALVIN WAYNE CRIDDLE JR. |
| Practice Address |
18271 Dustin Ct Reno NV 89508-2527 |
| Practice Telephone | 7752505367 |
| Mailing Telephone | 7752505367 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
18271 DUSTIN CT |
| City | RENO |
| State | NV |
| Zip Code | 89508-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427282615 | Alicia Rochelle Tau | Specialist | 18271 Dustin Ct, Reno, NV 89508-2527 | 2009-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376065292 | Kari S Murphy | Technician | 18550 Northridge Ave, Reno, NV 89508 | 2017-07-12 |
| 1477914331 | Diana J Klymman | Respite Care | 3825 Macaw Ln, Reno, NV 89508 | 2016-03-18 |
| 1841565231 | Phyllis Amanda Rak | Rehabilitation Practitioner | 18236 Silverleaf Ct, Reno, NV 89508 | 2012-03-19 |
| 1083144190 | Alisa Lynne Hossay | Community Health Worker | 18312 Dustin Ct, Reno, NV 89508-2529 | 2017-06-13 |
| 1508046699 | Karen Diane Eccles | Community Based Residential Treatment Facility, Mental Illness | 18252 Oakbrook Ln, Reno, NV 89508-4020 | 2007-11-06 |
| 1629373543 | Jc Family Services | Community/Behavioral Health | 18190 Baby Bear Ct, Reno, NV 89508-5816 | 2011-01-24 |
| 1609158237 | Michelle Roza | Behavioral Analyst | 18190 Baby Bear Ct, Reno, NV 89508-5816 | 2011-09-09 |
| 1144502774 | Neamoubi Mickle | Behavioral Analyst | 18190 Baby Bear Ct, Reno, NV 89508-5816 | 2011-09-09 |
| 1073806063 | Anna Winbush | Rehabilitation Practitioner | 17680 Cee Jay Ct, Reno, NV 89508-6036 | 2011-05-24 |
| 1760776215 | Ronald Winbush | Rehabilitation Practitioner | 17680 Cee Jay Ct, Reno, NV 89508-6036 | 2011-06-01 |
| Find all providers in zip 89508 | ||||
| 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.