MARISA RACHAEL TRAVERSIE (NPI# 1477108124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477108124 |
| Entity Type | Individual |
| Full Name | MARISA RACHAEL TRAVERSIE |
| Credential | APRN |
| Practice Address |
910 Vista Boulevard Sparks NV 89502 |
| Mailing Address |
850 Harvard Way # T5 Reno NV 89502-2055 |
| Practice Telephone | 7759825000 |
| Mailing Telephone | 7759825262 |
| Mailing Fax Number | 7759825496 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
823449 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
910 VISTA BOULEVARD |
| City | SPARKS |
| State | NV |
| Zip Code | 89502 |
| 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 |
| 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 |
| 1174010383 | Bt Services Inc. | Technician | 1420 Holcomb Avenue, Suite 102, Reno, NV 89502 | 2018-04-13 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679961338 | Prn Aprn Ltd | Nurse Practitioner | 456 Michele Way, Sparks, NV 89431-1256 | 2015-01-05 |
| 1992138721 | Jennifer A Unruh | Nurse Practitioner | 5070 Ion Dr Ste 200, Sparks, NV 89436-1654 | 2013-08-15 |
| 1487895405 | Susan Mary Field | Nurse Practitioner | 5070 Ion Dr Ste 100, Sparks, NV 89436 | 2009-03-20 |
| 1891845285 | Karri Lynn Burgner | Nurse Practitioner | 202 Los Altos Pkwy, Sparks, NV 89436-7708 | 2007-01-10 |
| 1467509422 | Linda Lesperance | Nurse Practitioner | 680 N Mccarran Blvd, Sparks, NV 89431-4600 | 2007-01-04 |
| 1871104448 | Omolola Gloria Shominure | Nurse Practitioner | 909 Ridgebrook Rd Ste 220, Sparks, MD 21152-9476 | 2020-08-16 |
| 1538703350 | Jeanette Lynn Lambdin | Nurse Practitioner | 3160 Vista Blvd, Sparks, NV 89436-6703 | 2019-11-05 |
| 1396396578 | Sarah Elizabeth Sudtell | Nurse Practitioner | 1321 N Mccarran Blvd, Sparks, NV 89431-3879 | 2019-09-27 |
| 1346717279 | Dana Janeen Julian | Nurse Practitioner | 5070 Ion Dr Ste 200, Sparks, NV 89436-1654 | 2018-10-29 |
| 1427544923 | Krystal Raye Dorman | Nurse Practitioner | 910 Vista Blvd, Sparks, NV 89434 | 2018-07-09 |
| Find all providers in SPARKS | ||||
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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.