MARISA TAILOR MULLEN (NPI# 1003339987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003339987 |
| Entity Type | Individual |
| Full Name | MARISA TAILOR MULLEN |
| Practice Address |
502 Silversmith Pl Reno NV 89511-8148 |
| Mailing Address |
3245 Clover Way # 4-313 Reno NV 89509-4786 |
| Practice Telephone | 5303003898 |
| Mailing Telephone | 5303003898 |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2018-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5250 Neil Rd Ste 200, Reno, NV 895026567 | 7754340488 | 7028707616 |
| Street Address |
502 SILVERSMITH PL |
| City | RENO |
| State | NV |
| Zip Code | 89511-8148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494491 | Jason Parrilla Jr. | Technician | 502 Silversmith Pl, Reno, NV 89511-8148 | 2020-07-08 |
| 1942824008 | Jordan Joshua Clanton | Technician | 502 Silversmith Pl, Reno, NV 89511-8148 | 2020-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059107 | Marcy Lynn Combe | Technician | 11900 Chesapeake Dr, Reno, NV 89506-9495 | 2020-09-25 |
| 1821617192 | Nicholaus Brant Buchholz | Technician | 2800 Enterprise Rd Apt 612, Reno, NV 89512-1678 | 2020-04-15 |
| 1639720741 | Julie Keechler | Technician | 1165 El Campo Ct, Reno, NV 89521-4136 | 2019-09-20 |
| 1326691536 | Audrie Nash | Technician | 108 Lucky Ln, Reno, NV 89502-5922 | 2019-07-17 |
| 1538629928 | Jami D Mchenry | Technician | 1931 Morgan Rd, Reno, NV 89521-7458 | 2019-03-21 |
| 1942767173 | Derrick Wade Smith | Technician | 8670 Silver Shores Dr, Reno, NV 89506-2153 | 2019-02-24 |
| 1396200788 | John Afantoutse Agbeko | Technician | 4050 Gardella Ave Apt 327, Reno, NV 89512-1034 | 2019-02-10 |
| 1356476642 | Wendy Gay Newman | Technician | 4045 Fairview Rd, Reno, NV 89511-6520 | 2007-02-23 |
| 1609494491 | Jason Parrilla Jr. | Technician | 502 Silversmith Pl, Reno, NV 89511-8148 | 2020-07-08 |
| 1053946046 | Erika Sara Gamel | Technician | 1855 Selmi Dr Apt G159, Reno, NV 89512-4767 | 2020-03-10 |
| 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.