EDGAR GERARDO LOPEZ MORA


Address: 4600 Kietzke Ln, Reno, NV 89502-5033
Phone: 7756226034

EDGAR GERARDO LOPEZ MORA (NPI# 1699375972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699375972
Entity Type Individual
Full Name EDGAR GERARDO LOPEZ MORA
Practice Address 4600 Kietzke Ln
Reno
NV 89502-5033
Practice Telephone 7756226034
Mailing Telephone 7756226034
Enumeration Date 2020-10-27
Last Update Date 2020-10-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 4600 KIETZKE LN
City RENO
State NV
Zip Code 89502-5033

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023075082 Mountain Circle Family Services, Inc. Public Health or Welfare 4600 Kietzke Ln, Suite B112, Reno, NV 89502-5033 2006-04-26
1750858031 Shane Jones Counselor 4600 Kietzke Ln, Reno, NV 89502-5033 2018-10-25
1205379740 Nicholas Lowe Counselor 4600 Kietzke Ln, Reno, NV 89502-5033 2016-12-01
1205379013 Annie Trent Counselor 4600 Kietzke Ln, J-212, Reno, NV 89502-5033 2016-11-28
1497297295 Chelsea Van Kruyssen Counselor 4600 Kietzke Ln, #j212, Reno, NV 89502-5033 2016-11-09
1467906438 Trudy Warner Rehabilitation Practitioner 4600 Kietzke Ln, Suite O - 260, Reno, NV 89502-5033 2016-08-08
1770936957 Sarah Verness Social Worker 4600 Kietzke Ln, Suite 0-260, Reno, NV 89502 2016-07-22
1154774479 Alyssa Catherine Fajayan Social Worker 4600 Kietzke Ln, Suite O-260, Reno, NV 89502-5033 2016-07-21
1134588387 Samuel C. Winter Do Pllc Family Medicine 4600 Kietzke Ln, K-221, Reno, NV 89502-5033 2016-02-16
1083087266 Sage Health Services, LLC Community/Behavioral Health 4600 Kietzke Ln, Ste. M-246, Reno, NV 89502-5033 2015-11-10
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225658990 Nandish Apurva Sheth Case Manager/Care Coordinator 1350 Grand Summit Dr Apt 272, Reno, NV 89523-2582 2020-04-22
1174185979 Lazell Smith Case Manager/Care Coordinator 6490 S Mccarran Blvd Ste C21, Reno, NV 89509-6123 2019-07-01
1275003360 Carly Noble Case Manager/Care Coordinator 1201 Terminal Way Ste 200, Reno, NV 89502-3258 2018-11-30
1790268266 Jessica House Case Manager/Care Coordinator 4600 Kietzke Ln Ste H182, Reno, NV 89502-5042 2018-09-11
1962912204 Kacey Mcguire Case Manager/Care Coordinator 1350 Grand Summit Dr Apt 81, Reno, NV 89523-2556 2017-09-30
1518498997 Ethan Sharpe Case Manager/Care Coordinator 890 Mill St Ste 300, Reno, NV 89502-1436 2017-03-27
1356881403 Larry Don Jordan Case Manager/Care Coordinator 2435 Jordan Hill Ln, Reno, TX 75462-3143 2017-03-07
1821448473 Amber Black Case Manager/Care Coordinator 5919 Bankside Way, Reno, NV 89523-2527 2016-06-14
1053760652 Melissa Mcgovern Case Manager/Care Coordinator 659 Ibis Ln, Reno, NV 89503-3925 2016-06-06
1053771907 Evangeline Beltejar-difuntorum Case Manager/Care Coordinator 700 Sienna Station Way, Reno, NV 89512-1363 2016-03-03
Find all providers in RENO

Competitor

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City RENO
Zip Code 89502

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Dataset Information

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.

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