LUCAS DALE MUDLOFF (NPI# 1962795807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962795807 |
| Entity Type | Individual |
| Full Name | LUCAS DALE MUDLOFF |
| Practice Address |
900 W 1st St Ste 200 Reno NV 89503-5587 |
| Practice Telephone | 7756772216 |
| Practice Fax Number | 7753224460 |
| Mailing Telephone | 7756772216 |
| Mailing Fax Number | 7753224460 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
900 W 1ST ST STE 200 |
| City | RENO |
| State | NV |
| Zip Code | 89503-5587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205095668 | Renee Manette Sumner | Community Health Worker | 900 W 1st St Ste 200, Reno, NV 89503-5587 | 2008-06-02 |
| 1073099115 | Ridge House, Inc. | Case Management | 900 W 1st St Ste 200, Reno, NV 89503-5587 | 2018-07-12 |
| 1134613391 | Jillian Liane Santo | Behavior Technician | 900 W 1st St Ste 200, Reno, NV 89503-5587 | 2018-06-20 |
| 1942721972 | Tina A. Hudson | Counselor | 900 W 1st St Ste 200, Reno, NV 89503-5587 | 2017-06-29 |
| 1083075766 | Jaclynn Marie Tye | Counselor | 900 W 1st St Ste 200, Reno, NV 89503-5587 | 2016-03-09 |
| 1235501800 | Sarah Tate-crowder | Behavioral Analyst | 900 W 1st St Ste 200, Reno, NV 89503-5587 | 2015-10-22 |
| 1265803365 | Uriel Gonzalez | Counselor | 900 W 1st St Ste 200, Reno, NV 89503-5587 | 2015-10-14 |
| 1104223429 | Leslie Ann Marshall | Community Health Worker | 900 W 1st St Ste 200, Reno, NV 89503-5587 | 2014-12-02 |
| 1790188589 | Jacob Ortiz | Counselor | 900 W 1st St Ste 200, Reno, NV 89503-5587 | 2014-10-07 |
| 1982006011 | Ransford Vawters | Counselor | 900 W 1st St Ste 200, Reno, NV 89503-5587 | 2014-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654932 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 401 West 2nd Street, Reno, NV 89503 | 2018-10-02 |
| 1356825392 | Shelby Downs | Behavior Technician | 2730 W 7th St, Reno, NV 89503 | 2018-09-15 |
| 1659805570 | Lee Ann Malone | Counselor | 200 W 1st St, Ste 200, Reno, NV 89503 | 2017-04-18 |
| 1255786828 | Eric Allen Hare | Counselor | 1201 North Stewart Street, Sutie 120, Carson City, NV 89503 | 2016-05-02 |
| 1407226095 | Travis B Adams | Dentist | 855 W Seventh St, Ste 200, Reno, NV 89503 | 2015-09-25 |
| 1477933877 | Shawn Mahan | Counselor | 900 W. First Streeet, Reno, NV 89503 | 2015-06-02 |
| 1801144431 | Yesenia Hernandez | Community Health Worker | 900w 1st Street Ste.200, Reno, NV 89503 | 2012-08-29 |
| 1053667501 | Barbara Frey | Social Worker | 580 W 5th Street, Reno, NV 89503 | 2012-08-01 |
| 1548546146 | The Note-ables | Day Training, Developmentally Disabled Services | 925 Riverside Drive, Suite 6, Reno, NV 89503 | 2011-10-26 |
| 1194011270 | Joanne Krumpe | Psychologist | 507 W. 6th St, Reno, NV 89503 | 2011-06-27 |
| Find all providers in zip 89503 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710510011 | Noah Hoffman | Contractor | 1325 Williams Cir, Reno, NV 89503-2498 | 2020-02-15 |
| 1487204566 | Tina Mokuau | Contractor | 2730 Robb Dr, Reno, NV 89523-2854 | 2019-09-19 |
| 1093365132 | Sandra Bohie-kempner | Contractor | 21871 Clemens Rd, Reno, NV 89521-6910 | 2019-09-19 |
| 1902394547 | Megan Harris | Contractor | 7935 Key Largo Drive, Reno, NV 89506 | 2018-04-30 |
| 1720596869 | Mairani Vanessa Ramirez | Contractor | 1360 Nannette Cir Apt 8, Reno, NV 89502-4463 | 2018-01-10 |
| 1497275911 | Anna Aguirre | Contractor | 641 1/2 Saint Lawrence Ave, Reno, NV 89509-1441 | 2017-06-26 |
| 1699221846 | Juan Castillo | Contractor | 2560 E 9th St, Reno, NV 89512 | 2016-08-28 |
| 1437517554 | Brian Steve Calderon | Contractor | 1310 Kirman Ave, Reno, NV 89502-2930 | 2016-02-03 |
| 1437564622 | Taylor Anne Duncan | Contractor | 901 Delmar Way, Reno, NV 89509-1846 | 2014-06-25 |
| 1841576634 | Verna Lee Presser | Contractor | 560 Gold Nugget Ct, Reno, NV 89506-5753 | 2011-10-25 |
| 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.