DR. CRYSTAL VANESSA CASTANEDA (NPI# 1457766198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457766198 |
| Entity Type | Individual |
| Full Name | DR. CRYSTAL VANESSA CASTANEDA |
| Credential | M.D. |
| Practice Address |
1055 S Wells Ave Reno NV 89502-2550 |
| Mailing Address |
225 E Chicago Ave # 152 Chicago IL 60611-2991 |
| Practice Telephone | 7753296300 |
| Practice Fax Number | 7753483896 |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 125-065621 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 125-065621 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5721 S Maryland Ave, Mc 8016, K155, Chicago, IL 606371425 | 7737027553 | 7738340748 |
| 225 E Chicago Ave # 152, Chicago, IL 606112991 | 3122277410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851681803 | Crystal Maree Castaneda | Student in an Organized Health Care Education/Training Program | 526 N 4th St, Blythe, CA 92225-1224 | 2011-04-12 |
| 1821513102 | Crystal Monique Castaneda | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2017-08-08 |
| Street Address |
1055 S WELLS AVE |
| City | RENO |
| State | NV |
| Zip Code | 89502-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233392 | Steven A Shane | Pediatrics | 1055 S Wells Ave, Reno, NV 89502-2550 | 2005-08-24 |
| 1285233486 | Melanie Hacklander | Nurse Practitioner | 1055 S Wells Ave, Reno, NV 89502-2550 | 2020-10-20 |
| 1770117756 | Elizabeth Patricia Lewis | Registered Nurse | 1055 S Wells Ave, Reno, NV 89502-2550 | 2020-02-27 |
| 1407492853 | Lucia Amanda Sanchez | Physician Assistant | 1055 S Wells Ave, Reno, NV 89502-2550 | 2019-11-20 |
| 1760030712 | Luis Fernando Rodriguez | Physician Assistant | 1055 S Wells Ave, Reno, NV 89502-2550 | 2019-09-03 |
| 1841844511 | Aaron V Blackham | Social Worker | 1055 S Wells Ave, Reno, NV 89502-2550 | 2019-07-30 |
| 1023661048 | Jordan Diane Forman | Nurse Practitioner | 1055 S Wells Ave, Reno, NV 89502-2550 | 2019-07-18 |
| 1174182166 | Cecilia Bowers | Physician Assistant | 1055 S Wells Ave, Reno, NV 89502-2550 | 2019-06-12 |
| 1649752106 | Kristyn Mcdougall | Nurse Practitioner | 1055 S Wells Ave, Reno, NV 89502-2550 | 2018-08-31 |
| 1326532714 | Caitlin Alexandra White | Family Medicine | 1055 S Wells Ave, Reno, NV 89502-2550 | 2018-06-19 |
| Find all providers in the same location | ||||
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437528825 | Tammy Roesler Md PC | Pediatrics | 3725 Lakeside Dr, Reno, NV 89509-5239 | 2015-09-16 |
| 1952703779 | Mark E Swanson | Pediatrics | 5190 Neil Rd., #215, Reno, NV 98502 | 2014-09-24 |
| 1245596055 | The Medical Profession, LLC | Pediatrics | 5301 Reno Corporate Dr., Reno, NV 89511 | 2012-04-05 |
| 1972874170 | Mayenne Alonzo Karelitz | Pediatrics | 5010 Ventana Pkwy, Reno, NV 89511-5605 | 2012-01-19 |
| 1578859377 | Nancy Heinz Sader | Pediatrics | 7215 Lingfield Dr, Reno, NV 89502-9662 | 2011-06-21 |
| 1114217502 | Megan Jean Dory | Pediatrics | 645 N Arlington Ave Ste 620, Reno, NV 89503-4444 | 2011-04-19 |
| 1699917294 | Christina Elise Raman | Pediatrics | 6350 Mae Anne Ave Ste 3, Reno, NV 89523-4718 | 2009-03-27 |
| 1194970921 | The Speicher Medical Grp | Pediatrics | 75 Pringle # 301, Reno, NV 89502 | 2008-11-20 |
| 1235399767 | Ron Max Aryel | Pediatrics | 6548 South Mccarran Blvd., Suite A, Reno, NV 89509-6150 | 2008-06-09 |
| 1720276587 | Shaji Mathew Md., P.C. | Pediatrics | 3639 Warren Way, Suite #100, Reno, NV 89509 | 2007-10-05 |
| 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.