EDWIN MINERA (NPI# 1376099630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376099630 |
| Entity Type | Individual |
| Full Name | EDWIN MINERA |
| Practice Address |
4600 Kiezke Lane O-260 Reno NV 89502 |
| Mailing Address |
Po Box 554 Greenville CA 95947-0554 |
| Practice Telephone | 5302847007 |
| Practice Fax Number | 5302847111 |
| Mailing Telephone | 7758259995 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4600 KIEZKE LANE O-260 |
| City | RENO |
| State | NV |
| Zip Code | 89502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396294484 | Edith Johnson | Rehabilitation Practitioner | 4600 Kiezke Lane, O-260, Reno, NV 89502 | 2016-09-29 |
| 1619423258 | Randy Boateng | Rehabilitation Practitioner | 4600 Kiezke Lane, O-260, Reno, NV 89502 | 2016-09-01 |
| 1093261356 | Brian Dixon | Rehabilitation Practitioner | 4600 Kiezke Lane, O-260, Reno, NV 89502 | 2016-08-28 |
| 1285180547 | Max Jean Baptiste | Rehabilitation Practitioner | 4600 Kiezke Lane, Suite O-260, Reno, NV 89502 | 2016-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730726092 | Malika Fahie | Rehabilitation Practitioner | 160 Sinclair St Apt 151, Reno, NV 89501-2043 | 2019-12-05 |
| 1780153767 | Cody Bull | Rehabilitation Practitioner | 714 Diogenes Dr, Reno, NV 89512-1336 | 2018-11-19 |
| 1710456793 | Briley Brewer | Rehabilitation Practitioner | 255 N Sierra St Unit 815, Reno, NV 89501-1372 | 2018-11-19 |
| 1114465440 | Vanessa Loudermilk | Rehabilitation Practitioner | 690 E Plumb Ln Ste 200, Reno, NV 89502-3597 | 2017-02-07 |
| 1275077349 | Victoria Mckay | Rehabilitation Practitioner | 5375 Reno Corporate Drive, Reno, NV 89511 | 2016-12-08 |
| 1891159075 | Janelle Clark Capurro | Rehabilitation Practitioner | 65 Regency Way Ste A, None, Reno, NV 89509-3423 | 2016-04-13 |
| 1346644598 | Fatai Langi | Rehabilitation Practitioner | 4401 Reggie Rd, Reno, NV 89502-6444 | 2014-10-17 |
| 1104220276 | Ronald Conley | Rehabilitation Practitioner | 2708 Eastshore Pl, Reno, Reno, NV 89509-4318 | 2014-10-17 |
| 1639580277 | Kathleen Barth | Rehabilitation Practitioner | 1272 Laredo Ct, Reno, NV 89503-3142 | 2014-05-16 |
| 1235558529 | Nicholas Hawthrone | Rehabilitation Practitioner | 6199 Walnut Creek Rd, Reno, NV 89523-1735 | 2014-04-15 |
| Find all providers in RENO | ||||
Please comment or provide details below to improve the information on EDWIN MINERA.
| 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.