KATHERINE THYSSEN (NPI# 1790191955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790191955 |
| Entity Type | Individual |
| Full Name | KATHERINE THYSSEN |
| Other Name | KATHERINE TRIBULATO |
| Credential | DO |
| Practice Address |
10085 Double R Blvd Ste 220 Reno NV 89521-3855 |
| Mailing Address |
850 Harvard Way # T5 Reno NV 89502-2055 |
| Practice Telephone | 7759825000 |
| Practice Fax Number | 7759823900 |
| Mailing Telephone | 7759825262 |
| Mailing Fax Number | 7759825496 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 61802 | MN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | R-10106 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
DO2531 | NV | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
61802 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1111 6th Ave, Des Moines, IA 503142613 | 5156438678 | 5156435802 |
| 200 1st St Sw, Rochester, MN 559052613 | (507) 284-2511 |
| Street Address |
10085 DOUBLE R BLVD STE 220 |
| City | RENO |
| State | NV |
| Zip Code | 89521-3855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033178637 | Marie Monique Mccormack | Family Medicine | 10085 Double R Blvd Ste 220, Reno, NV 89521-3855 | 2006-03-22 |
| 1205358785 | Rachel Lynn Benson | Family Medicine | 10085 Double R Blvd Ste 220, Reno, NV 89521-3855 | 2017-07-17 |
| 1144540709 | Radmila Mikan Savcic Kos | Internal Medicine | 10085 Double R Blvd Ste 220, Reno, NV 89521-3855 | 2010-06-07 |
| 1083880512 | Heather Amanda Baxter | Internal Medicine | 10085 Double R Blvd Ste 220, Reno, NV 89521-3855 | 2008-05-05 |
| 1124035910 | Matthew Wiese | Physician Assistant | 10085 Double R Blvd Ste 220, Reno, NV 89521-3855 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003266032 | Matthew Gordon | Family Medicine | 10539 Professional Cir Ste 200, Reno, NV 89521 | 2016-06-21 |
| 1003297219 | Erin Snell | Social Worker | 2374 Cartwright Rd, Reno, NV 89521 | 2015-06-12 |
| 1649696766 | Passport Health Holdings, LLC. | Preventive Medicine | 9190 Double Diamond Parkway, # 131, Reno, NV 89521 | 2014-03-13 |
| 1538585146 | Francis Thomas Webb | Chiropractor | 9393 Gateway Drive, Suite L, Reno, NV 89521 | 2014-03-07 |
| 1811336753 | Hans Peter Gray | Dentist | 1141 Steamboat Pkwy Ste 900, Reno, NV 89521 | 2013-06-24 |
| 1194162990 | Nevada Speech and Therapy Group | Speech-Language Pathologist | 1380 High Chaparral Drive, Reno, NV 89521 | 2013-06-03 |
| 1881934834 | Cindy Lynn Barnes | Occupational Therapist | 1600 Mountain Lane, Reno, NV 89521 | 2013-02-27 |
| 1508105016 | Shannon Marie Servi | Social Worker | 9060 Double Diamond Pkwy # 2-b, Reno, NV 89521 | 2013-02-04 |
| 1376853028 | Steven Michael Bilach | Specialist/Technologist, Other | 15025 Tourmaline Dr, Reno, NV 89521 | 2010-10-15 |
| 1528377512 | Kendra Brooks Newsome | Behavioral Analyst | 9408 Double R. Suite B, Reno, NV 89521 | 2010-09-24 |
| Find all providers in zip 89521 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518460591 | Reno Geriatrics LLC | Internal Medicine | 1500 Diamond Country Dr, Reno, NV 89521-6149 | 2018-03-15 |
| 1902287964 | University of Nevada School of Medicine Multispecialty Group Practice | Internal Medicine | 1664 N Virginia Street, Mail Stop 0146, Center for Molecular Medicine, Room 150, Reno, NV 89557-0001 | 2015-06-16 |
| 1619121480 | Denver Miller, M.d., Ltd. | Internal Medicine | 13195 W Saddlebow Dr, Reno, NV 89511-6761 | 2008-11-06 |
| 1407908536 | Calvin Van Reken Md Ltd | Internal Medicine | 55 Foothill Rd, Ste 1, Reno, NV 89511-5404 | 2007-01-17 |
| 1710052394 | Calvin Vanreken | Internal Medicine | 55 Foothill Rd Ste 1, Reno, NV 89511-5409 | 2006-11-21 |
| 1053405282 | Jeffrey Neal Gingold | Internal Medicine | 1670 Whisper Rock Ct, Reno, NV 89523-4844 | 2006-10-03 |
| 1285646240 | Steven L Phillips | Internal Medicine | 5250 Neil Rd Ste 201, Reno, NV 89502-6542 | 2006-08-11 |
| 1437107752 | Phillips and Miller Ltd | Internal Medicine | 5250 Neil Rd, Suite 201, Reno, NV 89502-6555 | 2006-05-05 |
| 1659514529 | The Continuum | Internal Medicine | 3700 Grant Dr, A, Reno, NV 89509-5309 | 2009-04-08 |
| 1205088838 | Geriatric Specialty Care of Nevada, Ltd., Steven L. Phillips, Md | Internal Medicine | 5250 Neil Rd, Suite 207, Reno, NV 89502 | 2008-10-14 |
| 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.