CARLA CORDOVA-EDUAVE (NPI# 1114228517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114228517 |
| Entity Type | Individual |
| Full Name | CARLA CORDOVA-EDUAVE |
| Credential | PA |
| Practice Address |
9990 Double R Blvd Ste 200 Reno NV 89521-4833 |
| Practice Telephone | 7753488800 |
| Practice Fax Number | 7753488818 |
| Mailing Telephone | 7753488800 |
| Mailing Fax Number | 7753488818 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2018-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1241 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1114228517 | 05 |
| Street Address |
9990 DOUBLE R BLVD STE 200 |
| City | RENO |
| State | NV |
| Zip Code | 89521-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609829274 | Cameron Michael Bergin | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2006-05-17 |
| 1235730474 | Alexandra Maie Gerlach | Physical Therapist | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2020-11-04 |
| 1184286015 | Michelle Mette Forman | Physical Therapist | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2019-07-01 |
| 1417513383 | Sydnii Mari Ray | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2019-05-15 |
| 1700343720 | Rachel Difelice | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2019-02-26 |
| 1639645625 | Britt Elizabeth Bickert | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-10-17 |
| 1265916803 | Matthew Thomas Pearce | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-09-19 |
| 1093296741 | Kamariah M Baker | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-08-21 |
| 1538649488 | Christopher Nathan Wilson | Physical Therapy Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-08-20 |
| 1386138519 | Lynch Neuromonitoring Initiatives Ltd | Electrodiagnostic Medicine | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003266032 | Matthew Gordon | Family Medicine | 10539 Professional Cir Ste 200, Reno, NV 89521 | 2016-06-21 |
| 1003297219 | Erin Snell | Social Worker | 2374 Cartwright Rd, Reno, NV 89521 | 2015-06-12 |
| 1649696766 | Passport Health Holdings, LLC. | Preventive Medicine | 9190 Double Diamond Parkway, # 131, Reno, NV 89521 | 2014-03-13 |
| 1538585146 | Francis Thomas Webb | Chiropractor | 9393 Gateway Drive, Suite L, Reno, NV 89521 | 2014-03-07 |
| 1811336753 | Hans Peter Gray | Dentist | 1141 Steamboat Pkwy Ste 900, Reno, NV 89521 | 2013-06-24 |
| 1194162990 | Nevada Speech and Therapy Group | Speech-Language Pathologist | 1380 High Chaparral Drive, Reno, NV 89521 | 2013-06-03 |
| 1881934834 | Cindy Lynn Barnes | Occupational Therapist | 1600 Mountain Lane, Reno, NV 89521 | 2013-02-27 |
| 1508105016 | Shannon Marie Servi | Social Worker | 9060 Double Diamond Pkwy # 2-b, Reno, NV 89521 | 2013-02-04 |
| 1376853028 | Steven Michael Bilach | Specialist/Technologist, Other | 15025 Tourmaline Dr, Reno, NV 89521 | 2010-10-15 |
| 1528377512 | Kendra Brooks Newsome | Behavioral Analyst | 9408 Double R. Suite B, Reno, NV 89521 | 2010-09-24 |
| Find all providers in zip 89521 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285093989 | Lauren Ashley Colpo | Physician Assistant | 4760 Townsite Rd, Reno, NV 89511-9067 | 2016-02-23 |
| 1023350709 | Karie King | Physician Assistant | 10085 Double R Blvd Ste 120, Reno, NV 89521-4867 | 2013-03-20 |
| 1700036506 | Sheila Quinn | Physician Assistant | 640 W Moana Ln Ste 2, Reno, NV 89509-4857 | 2008-09-29 |
| 1336318583 | Valerie Dianne Leitko | Physician Assistant | 1950 Villanova Dr, Reno, NV 89502-3142 | 2008-02-21 |
| 1700902012 | Christine Burns | Physician Assistant | 6255 Sharlands Ave Ste C, Reno, NV 89523-2882 | 2007-03-21 |
| 1447297825 | Nancy Ann Inman | Physician Assistant | Minute Clinic 9586, 55 Damonte Ranch Pkwy, Reno, NV 89521 | 2006-06-02 |
| 1154313666 | Tracy Birkner | Physician Assistant | 645 North Arlington, Suite 440, Reno, NV 89503-4451 | 2005-08-19 |
| 1336610997 | Amaya Drake | Physician Assistant | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2018-12-07 |
| 1639645625 | Britt Elizabeth Bickert | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-10-17 |
| 1093296741 | Kamariah M Baker | Physician Assistant | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2018-08-21 |
| 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.