KATHLEEN MARY CAVKA (NPI# 1245613421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245613421 |
Entity Type | Individual |
Full Name | KATHLEEN MARY CAVKA |
Other Name | KATHLEEN MARY IVIE |
Credential | RN |
Practice Address |
480 Galletti Way 8n Sparks NV 89431-5564 |
Practice Telephone | 7756881633 |
Mailing Telephone | 7756881633 |
Enumeration Date | 2015-07-07 |
Last Update Date | 2015-07-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
RN69887 | NV | Nursing Service Providers |
Street Address |
480 GALLETTI WAY 8N |
City | SPARKS |
State | NV |
Zip Code | 89431-5564 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972501021 | State of Nevada | Psychiatric Hospital | 480 Galletti Way, Sparks, NV 89431-5564 | 2005-07-12 |
1760022214 | Dr. William Jackson | Clinic/Center | 480 Galletti Way, Sparks, NV 89431-5564 | 2020-01-13 |
1124676614 | Bryon Jason Gallant | Counselor | 480 Galletti Way, Sparks, NV 89431-5564 | 2019-08-28 |
1063076578 | David R Ball | Day Training/Habilitation Specialist | 480 Galletti Way, Sparks, NV 89431-5564 | 2019-04-30 |
1154893980 | Juan Manuel Juarez Jr. | Counselor | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-12-18 |
1861962805 | Ange Kay Zimmerman | Counselor | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-12-03 |
1053887588 | Richard Alexander Noack | Counselor | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-10-23 |
1053886739 | Jessica Kate Ketz | Case Manager/Care Coordinator | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-10-09 |
1720563497 | Colleen Patricia Haesche | Case Manager/Care Coordinator | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-09-28 |
1457839797 | Mitchell Stuart Lasco | Counselor | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-07-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053958033 | Jerome Johnson II | Behavioral Analyst | 3115 Saltern Way, Sparks, NV 89431 | 2019-12-09 |
1528520640 | Dynisha Bernee Richardson | Technician, Other | 616 Victorian Ave, Sparks, NV 89431 | 2019-04-05 |
1902376494 | Avalon Care Center-va Reno, LLC | Skilled Nursing Facility | 36 Battle Born Way, Sparks, NV 89431 | 2018-11-28 |
1669964128 | Abraham A Arellano | Behavioral Analyst | 2005 Probasco Way, Sparks, NV 89431 | 2018-05-31 |
1003335399 | Carresa Greer | Counselor | 390 Freeport Blvd #3, Sparks, NV 89431 | 2017-09-18 |
1689197444 | Fred Blauth Jr. | Counselor | 2105 Sullivan Ln, Sparks, NV 89431 | 2017-07-24 |
1548719255 | Adolescent Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 480 Galetti Way, Sparks, NV 89431 | 2016-09-23 |
1124478862 | Kristina Schneider | Behavioral Analyst | 3230 Wedekind Rd, 50, Sparks, NV 89431 | 2016-06-14 |
1336506898 | Rikki Texter | Occupational Therapy Assistant | 1025 Robert Lane, Sparks, NV 89431 | 2016-01-28 |
1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
Find all providers in zip 89431 |
Taxonomy Code | 163WP0807X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Child & Adolescent |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801413570 | Lisa Marie Forkell | Registered Nurse | 480 Galletti Way Bldg 8, Sparks, NV 89431-5564 | 2020-06-29 |
1073138921 | Kyle Coss | Registered Nurse | 480 Galletti Way Bldg 8n, Sparks, NV 89431-5564 | 2020-06-16 |
1861020372 | Mary Ann Leglise | Registered Nurse | 480 Galletti Way Bldg 8n, Sparks, NV 89431-5564 | 2020-03-30 |
1346501988 | Laura Dasmann | Registered Nurse | 480 Galletti Way, Building 8n, Sparks, NV 89431-5564 | 2012-05-30 |
1881968238 | Dana Lyn Block | Registered Nurse | 480 Galletti Way, Bldg 8n, Sparks, NV 89431-5564 | 2012-03-02 |
1316018849 | Kathleen Stevenson | Registered Nurse | 480 Galletti Way, Bldg 8a, Sparks, NV 89431-5564 | 2006-11-13 |
1043382518 | Katherine J. Barrett | Registered Nurse | 480 Galletti Way, Bldg. 8a, Sparks, NV 89431-5564 | 2006-11-13 |
1922179449 | Kara Shumsky | Registered Nurse | 480 Galletti Way, Sparks, NV 89431-5564 | 2006-11-13 |
1891867321 | Margaret Frances Butler | Registered Nurse | 480 Galletti Way, Building 8a, Sparks, NV 89431-5564 | 2006-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114527850 | Tatiana Roman | Registered Nurse | 1840 Goose Creek Pl, Las Vegas, NV 89108-2522 | 2020-10-30 |
1528509015 | Lisa Morris | Registered Nurse | 3595 Hwy. 50 West, Suite 3, Silver Springs, NV 89429 | 2017-03-16 |
1346641883 | Whytny Coller | Registered Nurse | 7800 S Rainbow Blvd Apt 2104, Las Vegas, NV 89139-6214 | 2014-09-15 |
1124377684 | Kimberly Alice Van Meter | Registered Nurse | 6375 W Charleston Blvd., Ste. A100, Las Vegas, NV 89146 | 2012-08-30 |
1396078044 | Ronnie Darrin Marshall | Registered Nurse | 390 Talus Way, Reno, NV 89503-1216 | 2009-09-14 |
1811598782 | Amy L Whalen | Registered Nurse | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-11-05 |
1104423615 | Cleonne Lucien-ferdinand | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-10-07 |
1225661002 | Joshua Gainey | Registered Nurse | 6171 W Charleston Blvd Bldg 14, Las Vegas, NV 89146-1126 | 2020-02-19 |
1437780996 | Eva Maria Rivera | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-02-03 |
1699305953 | Margy Espinosa | Registered Nurse | 6171 W Charleston Blvd, Las Vegas, NV 89146-1126 | 2020-01-24 |
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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.