THERESA DAMBROSIO INECK (NPI# 1255789319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255789319 |
| Entity Type | Individual |
| Full Name | THERESA DAMBROSIO INECK |
| Credential | PA-C |
| Practice Address |
236 W 6th St Ste 200 Reno NV 89503-4550 |
| Mailing Address |
850 Harvard Way Reno NV 89502-2055 |
| Practice Telephone | 7759825000 |
| Practice Fax Number | 7759823900 |
| Mailing Telephone | 7759825262 |
| Mailing Fax Number | 7759825496 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1969 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1255789319 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4311 11th Ave Ne Suite 200, Medex Northwest, Seattle, WA 98105 | 2066164001 |
| Street Address |
236 W 6TH ST STE 200 |
| City | RENO |
| State | NV |
| Zip Code | 89503-4550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326023755 | Christina Ann Szot | Internal Medicine | 236 W 6th St Ste 200, Reno, NV 89503-4550 | 2005-12-08 |
| 1457822132 | Community Care Services LLC | Anesthesiology | 236 W 6th St Ste 200, Reno, NV 89503-4550 | 2018-12-06 |
| 1952668105 | William Barker Graham IIi | Internal Medicine | 236 W 6th St Ste 200, Reno, NV 89503-4550 | 2012-04-12 |
| 1063782548 | Anetta Adams | Nurse Practitioner | 236 W 6th St Ste 200, Reno, NV 89503-4550 | 2011-12-30 |
| 1275743122 | Amanda Rae Morgan | Internal Medicine | 236 W 6th St Ste 200, Reno, NV 89503 | 2007-05-22 |
| 1851376123 | Stephen Albert Baez | Internal Medicine | 236 W 6th St Ste 200, Reno, NV 89503-4550 | 2005-12-09 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| 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 |
| 1497370514 | Jantima Shannon Becker | Physician Assistant | 1060 Crosswater Dr, Reno, NV 89523-7100 | 2020-06-15 |
| 1073148508 | Megan Marie Brandon | Physician Assistant | 236 W 6th St Ste 3, Reno, NV 89503-4517 | 2020-03-05 |
| 1487216719 | Abigail Freeman | Physician Assistant | 10745 Double R Blvd # 13, Reno, NV 89521-8979 | 2019-07-08 |
| 1902465321 | Michael Edward Callahan | Physician Assistant | 10509 Professional Cir Ste 101, Reno, NV 89521-4883 | 2019-06-10 |
| 1821656174 | Samantha Audrey Mcdougal | Physician Assistant | 450 Haleb Ct, Reno, NV 89521-8345 | 2019-06-02 |
| 1588039085 | Stat Wound Care Services LLC | Physician Assistant | 4790 Caughlin Pkwy # 379, Reno, NV 89519-0907 | 2015-12-09 |
| 1174998702 | Adeo Wound Services LLC | Physician Assistant | 4790 Caughlin Pkwy # 380, Reno, NV 89519-0907 | 2015-12-08 |
| 1649640814 | Aleah Kristin Hartung | Physician Assistant | 960 Caughlin Xing, #100, Reno, NV 89519-0611 | 2015-09-30 |
| 1235422304 | Ashley L Thompson | Physician Assistant | 1075 N Hills Blvd Ste 180, Reno, NV 89506-6799 | 2011-05-24 |
| 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.