GREAT BASIN PAIN & WELLNESS LLC (NPI# 1932689403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932689403 |
| Entity Type | Organization |
| Organization Name | GREAT BASIN PAIN & WELLNESS LLC |
| Practice Address |
1775 Browning Way Ste 102 Elko NV 89801-8338 |
| Mailing Address |
Po Box 2001 Idaho Falls ID 83403-2001 |
| Practice Telephone | 7752994555 |
| Mailing Telephone | 2085252090 |
| Mailing Fax Number | 2085238978 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2019-11-06 |
| Authorized Official Name | MICHAEL HUNT (OWNER/PARTNER) |
| Authorized Official Telephone | 8013725785 |
| Authorized Official Credential | CRNA,FNP-C,APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1775 BROWNING WAY STE 102 |
| City | ELKO |
| State | NV |
| Zip Code | 89801-8338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013974369 | Ronnie Jay Wing | Nurse Practitioner | 1775 Browning Way Ste 102, Elko, NV 89801-8338 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043780638 | Ashleigh Unique Hopson | Behavior Technician | 764 S 5th St #23, Elko, NV 89801 | 2018-11-27 |
| 1457829822 | Asuzena Cruz Lopez | Behavior Technician | 250 Lamoille Hw, Suite 103, Elko, NV 89801 | 2018-11-05 |
| 1326542770 | Iona Michelle Weeks | Nurse Practitioner | 1993 Errecart Blvd., Elko, NV 89801 | 2018-03-21 |
| 1720588395 | Arturo Ruiz Jr. | Behavior Technician | 251 West River #26, Elko, NV 89801 | 2018-02-20 |
| 1942748231 | Mhm Solution Inc | Early Intervention Provider Agency | 2350 North 5th Street, Elko, NV 89801 | 2017-02-07 |
| 1861842064 | Daniel Honneyman | Emergency Medicine | Northeastern Regional Hospital, 2001 Errecart Blvd, Elko, NV 89801 | 2016-06-17 |
| 1265898068 | Full Range Physical Therapy, LLC | Clinic/Center | 620 S. 12th St. Ste. 110, Elko, NV 89801 | 2016-01-08 |
| 1932577889 | Brandie Lee Oros | Nurse Practitioner | 160 12th Street, Elko, NV 89801 | 2015-09-09 |
| 1770900441 | Sarah Jean Martinez | Physical Therapist | 620 S. 12th St., Ste. 110, Elko, NV 89801 | 2014-03-19 |
| 1841627916 | Ron Zedek Md PC | Counselor | 1250 Lamoille Ave Ste 103, Elko, NV 89801 | 2013-10-03 |
| Find all providers in zip 89801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143446 | Susan Elizabeth Evans | Nurse Practitioner | 2540 Elko Rd, Elko, GA 31025-2202 | 2020-10-28 |
| 1720610108 | Joseph, Lee Armbruster | Nurse Practitioner | 1995 Errecart Blvd Ste 202, Elko, NV 89801-8337 | 2020-02-04 |
| 1194184010 | Jane Owen | Nurse Practitioner | 3740 E Idaho St, Elko, NV 89801-4611 | 2016-02-20 |
| 1043412307 | Debbie Bristol Apn LLC | Nurse Practitioner | 475 8th St, Elko, NV 89801-3852 | 2007-05-31 |
| 1487711313 | Carrie E. Power | Nurse Practitioner | 1250 Lamoille Hwy, Suite 413, Elko, NV 89801-4396 | 2007-01-02 |
| 1891855235 | Carol Lynn Laird | Nurse Practitioner | 2001 Errecart Blvd, Elko, NV 89801-8333 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396651 | Alma F Talavera | Nurse Practitioner | 5982 Juniper Falls Ave, Las Vegas, NV 89130-2827 | 2020-11-06 |
| 1154922300 | Reynaly Campos | Nurse Practitioner | 10680 Spruce Bough St, Las Vegas, NV 89183-4631 | 2020-11-04 |
| 1700486768 | Laughlin Community Health Center Inc | Nurse Practitioner | 3650 Sand Pointe Circle, Suite 101, Laughlin, NV 89029 | 2020-10-29 |
| 1811596463 | Carolina Salaberrios | Nurse Practitioner | 8440 W Lake Mead Blvd Ste 111, Las Vegas, NV 89128-7648 | 2020-10-23 |
| 1851990840 | John Marius Agravio Tolentino | Nurse Practitioner | 3557 Winter Wren St, Las Vegas, NV 89122-3539 | 2020-10-21 |
| 1811596760 | Emmelyn Pineda Rivas | Nurse Practitioner | 7852 Lovely Pine Pl, Las Vegas, NV 89143-4431 | 2020-10-21 |
| 1417556705 | Malina Josephine Ruiz | Nurse Practitioner | 1500 E 2nd St Ste 400p1, Reno, NV 89502-1262 | 2020-10-19 |
| 1659979052 | Francis Torres | Nurse Practitioner | 10010 Fort Pike St, Las Vegas, NV 89178-7543 | 2020-10-16 |
| 1144828849 | Julio Arvie Mata Madarazo Jr. | Nurse Practitioner | 6284 Canvasback Ave, Las Vegas, NV 89122-3545 | 2020-10-14 |
| 1104424076 | Khelsey Macaspac | Nurse Practitioner | 6446 Dunns River St, Las Vegas, NV 89166-8064 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GREAT BASIN PAIN & WELLNESS LLC.
| 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.