BRENNA RYSDAM (NPI# 1912275181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912275181 |
| Entity Type | Individual |
| Full Name | BRENNA RYSDAM |
| Practice Address |
111 W Telegraph St Suite 204 Carson City NV 89703-4266 |
| Practice Telephone | 7758857790 |
| Practice Fax Number | 7752277066 |
| Mailing Telephone | 7758857790 |
| Mailing Fax Number | 7752277066 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2012-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
111 W TELEGRAPH ST SUITE 204 |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89703-4266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235553132 | Chris Childers | Rehabilitation Practitioner | 111 W Telegraph St, Suite 204, Carson City, NV 89703-4266 | 2014-02-12 |
| 1770907602 | Serena Garcia | Rehabilitation Practitioner | 111 W Telegraph St, Suite 204, Carson City, NV 89703-4266 | 2014-02-12 |
| 1225452139 | Stephanie Munoz | Rehabilitation Practitioner | 111 W Telegraph St, Suite 204, Carson City, NV 89703-4266 | 2014-02-12 |
| 1629492889 | Lisa Dill | Rehabilitation Practitioner | 111 W Telegraph St, Suite 204, Carson City, NV 89703-4266 | 2014-02-08 |
| 1366866519 | Tara Bottini | Rehabilitation Practitioner | 111 W Telegraph St, Suite 204, Carson City, NV 89703-4266 | 2014-02-08 |
| 1447687488 | Peter G Stephenson | Rehabilitation Practitioner | 111 W Telegraph St, Suite 204, Carson City, NV 89703-4266 | 2013-10-04 |
| 1982043543 | Gia Overturf | Rehabilitation Practitioner | 111 W Telegraph St, Suite 204, Carson City, NV 89703-4266 | 2013-06-17 |
| 1861766800 | Elizabeth A Gerton | Rehabilitation Practitioner | 111 W Telegraph St, Ste 204, Carson City, NV 89703-4266 | 2012-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487215232 | Madison M Gurries | Audiologist | 1493 Medical Parkway, Carson City, NV 89703 | 2019-06-24 |
| 1609332949 | Tsl Skyline Estates, LLC | Assisted Living Facility | 2705 Mountain St., Carson City, NV 89703 | 2019-02-12 |
| 1790252120 | Reno Orthopaedic Clinic Inc. | Physical Therapist | 1365 Medical Parkway, Carson City, NV 89703 | 2018-10-24 |
| 1265910970 | Marvel Dental Carson City, LLC | Clinic/Center | 410 Fleischmann Way Suite A., Carson City, NV 89703 | 2018-08-03 |
| 1619348489 | Nevada Health Centers Inc. | Clinic/Center | 618 W. Musser Street, Carson City, NV 89703 | 2015-10-19 |
| 1518351089 | Christopher Vlasek | Family Medicine | 412 W John St Ste B, Carson City, NV 89703 | 2015-03-23 |
| 1902215254 | Grant Vaughn Davis | Behavioral Analyst | 1316 Monte Rosa Drive, Carson City, NV 89703 | 2014-08-11 |
| 1437563152 | Nina Patynowski | Nurse Practitioner | 415 W Sofia St, Ste 100, Carson City, NV 89703 | 2014-06-20 |
| 1679853089 | Carson Tahoe Physician Clinics | Family Medicine | 1200 Moutain Street, Suite 220, Carson City, NV 89703 | 2011-08-17 |
| 1790094076 | Darlene Parrish | Occupational Therapy Assistant | 3050 N. Ormsby Bl, Carson City, NV 89703 | 2010-10-04 |
| Find all providers in zip 89703 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922629963 | Melissa Jane Swanson | Rehabilitation Practitioner | 325 Viola Way, Carson City, NV 89704-9591 | 2020-04-30 |
| 1295239739 | Nathaniel J Anderson | Rehabilitation Practitioner | 504 E Musser St, Carson City, NV 89701-4239 | 2018-03-20 |
| 1487077699 | Jessica Merritt | Rehabilitation Practitioner | 1943 Marian Ave, Carson City, NV 89706-2635 | 2014-01-23 |
| 1275956484 | Jennifer Williams | Rehabilitation Practitioner | 609 Hot Springs Rd Apt 108, Carson City, NV 89706-1648 | 2014-01-23 |
| 1851632194 | Skye Swanson | Rehabilitation Practitioner | 1024 E Fifth St Apt 205, Carson City, NV 89701-5069 | 2013-03-12 |
| 1215291018 | Heather Christine Brodie | Rehabilitation Practitioner | 1919 Beverly Dr, Carson City, NV 89706-2607 | 2012-06-27 |
| 1295096774 | Diana Lynn Morgan | Rehabilitation Practitioner | 2820 Airport Rd, #8, Carson City, NV 89706-1166 | 2012-05-31 |
| 1619240835 | Tyler Jobeth Jennings | Rehabilitation Practitioner | 210 Heidi Cir, Carson City, NV 89701-9514 | 2012-02-18 |
| 1285907485 | Maynard A Green | Rehabilitation Practitioner | 955 Ladera Dr, Carson City, NV 89701-2048 | 2012-02-17 |
| 1427321603 | Victoria Rae Crozier | Rehabilitation Practitioner | 2529 Concord Dr, Carson City, NV 89706-1067 | 2012-02-17 |
| Find all providers in CARSON CITY | ||||
| City | CARSON CITY |
| Zip Code | 89703 |
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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.