KELLY WALLER (NPI# 1538537105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538537105 |
| Entity Type | Individual |
| Full Name | KELLY WALLER |
| Practice Address |
525 Roberts St Reno NV 89502-7818 |
| Practice Telephone | 7753488811 |
| Enumeration Date | 2015-09-12 |
| Last Update Date | 2015-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
525 ROBERTS ST |
| City | RENO |
| State | NV |
| Zip Code | 89502-7818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063853406 | Mashal Malik | Social Worker | 525 Roberts St, Suite 102, Reno, NV 89502-7818 | 2013-07-15 |
| 1265970115 | Westcare Nevada Inc | Counselor | 525 Roberts St, Reno, NV 89502-7818 | 2017-02-10 |
| 1184162034 | Westcare Nevada, Inc | Community/Behavioral Health | 525 Roberts St, Reno, NV 89502-7818 | 2017-02-10 |
| 1720439664 | Westcare | Substance Abuse Rehabilitation Facility | 525 Roberts St, Reno, NV 89502-7818 | 2016-06-22 |
| 1043679459 | Westcre Nevada Inc | Counselor | 525 Roberts St, Reno, NV 89502-7818 | 2016-02-12 |
| 1710359377 | Verleen Tom | Nurse's Aide | 525 Roberts St, Reno, NV 89502-7818 | 2015-10-22 |
| 1891164737 | Maggie Hart | Counselor | 525 Roberts St, Reno, NV 89512 | 2015-09-22 |
| 1699144550 | Alexi Kapsoff | Counselor | 525 Roberts St, Reno, NV 89502 | 2015-09-22 |
| 1336518489 | Dayna Malone | Counselor | 525 Roberts St, Reno, NV 89512 | 2015-09-18 |
| 1093184566 | Dora Castro | Counselor | 525 Roberts St, Reno, NV 89502-7818 | 2015-09-15 |
| 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 | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570262 | Maday Matamoros | Social Worker | 2851 Dunstan Way, Las Vegas, NV 89123-6506 | 2019-10-22 |
| 1891156204 | Melissa Meevasin | Social Worker | 3131 W Craig Rd, Suite 180, North Las Vegas, NV 89032-0779 | 2016-03-11 |
| 1124426549 | Alysia Gardner | Social Worker | 3909 Sweet Pine St Unit 101, Las Vegas, NV 89108-8131 | 2014-12-17 |
| 1508295452 | Rodney Rice | Social Worker | 9360 W Flamingo Rd Ste 110-269, Las Vegas, NV 89147-6410 | 2013-11-01 |
| 1326389388 | Allen Leung | Social Worker | 3756 Warmbreeze Way, Las Vegas, NV 89129-6878 | 2013-03-14 |
| 1386939908 | Nichollette Miyoko Morita | Social Worker | 3362 Loma Linda Ln, Las Vegas, NV 89121-5721 | 2011-06-10 |
| 1275867780 | Tiffany Levon Day | Social Worker | 7075 W Gowan Rd Apt 1074, Las Vegas, NV 89129-6290 | 2009-09-30 |
| 1053945030 | Teyshonnia Bealer-west | Social Worker | 2200 E Calvada Blvd Ste A, Pahrump, NV 89048-5833 | 2020-02-27 |
| 1093285421 | Frances Anna Young | Social Worker | 7180 Cascade Valley Ct, Las Vegas, NV 89128-0449 | 2018-11-28 |
| 1285111492 | Stephanie Lizbeth Castillo-loeza | Social Worker | 526 S Tonopah Dr, Las Vegas, NV 89106-4043 | 2018-07-20 |
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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.