RENO VAMC (NPI# 1841681715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841681715 |
| Entity Type | Organization |
| Organization Name | RENO VAMC |
| Other Organization Name | RENO 1 VA CLINIC |
| Practice Address |
2295 Kietzke Ln Reno NV 89502-3604 |
| Mailing Address |
Po Box 94420 Cleveland OH 44101-4420 |
| Practice Telephone | 7023413020 |
| Mailing Telephone | 7023413020 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2017-11-01 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| RENO 1 VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588216618 | Reno Vamc | Clinic/Center | 1140 Selmi Dr, Reno, NV 89512-4780 | 2019-07-09 |
| 1164979225 | Reno Vamc | Clinic/Center | 3674 South Virginia Street, Unit E4, Reno, NV 89502-6015 | 2016-09-07 |
| 1639560600 | Reno Vamc | Clinic/Center | 3298 Traders Way, Winnemucca, NV 89445-3654 | 2015-02-12 |
| 1578954442 | Reno Vamc | Clinic/Center | 350 Capitol Hill Ave, Reno, NV 89502-2923 | 2015-02-12 |
| 1912301102 | Reno Vamc | Clinic/Center | 1201 Corporate Boulevard, Suite 100, Reno, NV 89502-7162 | 2014-10-16 |
| 1336466598 | Reno Vamc | Clinic/Center | 110 Bella Way, Susanville, CA 96130-9102 | 2010-04-28 |
| 1811181639 | Reno Vamc | Clinic/Center | 1020 New River Pkwy Ste 304, Fallon, NV 89406-7811 | 2007-09-05 |
| 1740227644 | Reno Vamc | Clinic/Center | 1330 Waterloo Ln, Gardnerville, NV 89410-5587 | 2006-05-31 |
| 1235581901 | Reno Vamc | Skilled Nursing Facility | 975 Kirman Ave, Reno, NV 89502-0993 | 2016-07-06 |
| 1962440578 | Reno Vamc | Clinic/Center | 11985 Heritage Oak Pl, Suite 1, Auburn, CA 95603-2413 | 2006-06-04 |
| Street Address |
2295 KIETZKE LN |
| City | RENO |
| State | NV |
| Zip Code | 89502-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740533488 | Joan Elizabeth Browne | Optometrist | 2295 Kietzke Ln, Reno, NV 89502-3604 | 2012-10-18 |
| 1588288575 | Jullie Ngo | Optometrist | 2295 Kietzke Ln, Reno, NV 89502-3604 | 2020-06-04 |
| 1467014118 | Andrea Maldonado | Optometrist | 2295 Kietzke Ln, Reno, NV 89502-3604 | 2019-07-02 |
| 1366938771 | Mariah Mitman | Optometrist | 2295 Kietzke Ln, Reno, NV 89502-3604 | 2018-07-09 |
| 1114412558 | Quan Say Vong | Optometrist | 2295 Kietzke Ln, Reno, NV 89502-3604 | 2018-06-28 |
| 1154843399 | Ashley Mccafferty | Optometrist | 2295 Kietzke Ln, Reno, NV 89502-3604 | 2017-07-10 |
| 1750732392 | Julie Minnix | Optometrist | 2295 Kietzke Ln, Reno, NV 89502-3604 | 2016-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588216618 | Reno Vamc | Clinic/Center | 1140 Selmi Dr, Reno, NV 89512-4780 | 2019-07-09 |
| 1164979225 | Reno Vamc | Clinic/Center | 3674 South Virginia Street, Unit E4, Reno, NV 89502-6015 | 2016-09-07 |
| 1578954442 | Reno Vamc | Clinic/Center | 350 Capitol Hill Ave, Reno, NV 89502-2923 | 2015-02-12 |
| 1912301102 | Reno Vamc | Clinic/Center | 1201 Corporate Boulevard, Suite 100, Reno, NV 89502-7162 | 2014-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134670110 | Las Vegas Vamc | Clinic/Center | 3525 W Cheyenne Ave, North Las Vegas, NV 89032-8250 | 2016-10-14 |
| 1639560600 | Reno Vamc | Clinic/Center | 3298 Traders Way, Winnemucca, NV 89445-3654 | 2015-02-12 |
| 1295126621 | Salt Lake City Vamc | Clinic/Center | 2719 Argent Avenue, Suite 9, Elko, NV 89801-8443 | 2015-02-06 |
| 1821374067 | Las Vegas Vamc | Clinic/Center | 4461 E Charleston Blvd, Las Vegas, NV 89104-5537 | 2011-11-02 |
| 1609159292 | Las Vegas Vamc | Clinic/Center | 3968 N Rancho Drive, Las Vegas, NV 89130-3412 | 2011-09-21 |
| 1811181639 | Reno Vamc | Clinic/Center | 1020 New River Pkwy Ste 304, Fallon, NV 89406-7811 | 2007-09-05 |
| 1043251770 | Las Vegas Vamc | Clinic/Center | 220 South Lola Lane, Pahrump, NV 89048-0835 | 2006-06-10 |
| 1740227644 | Reno Vamc | Clinic/Center | 1330 Waterloo Ln, Gardnerville, NV 89410-5587 | 2006-05-31 |
| 1104211069 | Las Vegas Vamc | Clinic/Center | 6900 Pecos Rd, N Las Vegas, NV 89086-4400 | 2015-03-30 |
| 1215339411 | Las Vegas Vamc | Clinic/Center | 3650 South Pointe Circle, Building D Suite 216, Laughlin, NV 89029-0423 | 2014-09-18 |
| 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.