JOHN PAUL BACALTOS MERCADO (NPI# 1891144374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891144374 |
| Entity Type | Individual |
| Full Name | JOHN PAUL BACALTOS MERCADO |
| Credential | N.P. |
| Practice Address |
18653 Wedge Pkwy Reno NV 89511-3323 |
| Mailing Address |
411 W 6th St Reno NV 89503-4415 |
| Practice Telephone | 7757707210 |
| Practice Fax Number | 7757707211 |
| Mailing Telephone | 7757707600 |
| Mailing Fax Number | 7757707880 |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN62564 | NV | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN002196 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18653 WEDGE PKWY |
| City | RENO |
| State | NV |
| Zip Code | 89511-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760480461 | John Raeder | Family Medicine | 18653 Wedge Pkwy, Suite 110, Reno, NV 89511-3323 | 2005-07-07 |
| 1669988077 | Kara Nicole Hays | Physician Assistant | 18653 Wedge Pkwy, Reno, NV 89511-3323 | 2017-12-20 |
| 1861910119 | Erin Grill | Nurse Practitioner | 18653 Wedge Pkwy, Reno, NV 89511-3323 | 2017-09-07 |
| 1033651443 | Reno Orthopaedic Clinic Inc | Physician Assistant | 18653 Wedge Pkwy, Reno, NV 89511-3323 | 2016-11-16 |
| 1730531732 | Tahoe Fracture and Orthopedic Medical Clinic, Inc | Durable Medical Equipment & Medical Supplies | 18653 Wedge Pkwy, Suite 120, Reno, NV 89511-3323 | 2016-07-01 |
| 1275898975 | Saint Marys Urgent Care LLC | Clinic/Center | 18653 Wedge Pkwy, Suite 300, Reno, NV 89511-3323 | 2012-07-09 |
| 1184982498 | Denise F Barnard | Physical Therapist | 18653 Wedge Pkwy, Reno, NV 89511-3323 | 2012-04-25 |
| 1912285131 | Saint Mary's Multi-specialty Clinic, Inc. | Clinic/Center | 18653 Wedge Pkwy, Suite 300, Reno, NV 89511-3323 | 2011-07-22 |
| 1053542464 | Michelle Marie Mays | Nurse Practitioner | 18653 Wedge Pkwy, Suite 170, Reno, NV 89511-3323 | 2009-08-03 |
| 1295973006 | St. Mary's Outpatient Surgery Center At Galena LLC | Clinic/Center | 18653 Wedge Pkwy, Reno, NV 89511-3005 | 2009-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556705 | Malina Josephine Ruiz | Nurse Practitioner | 1500 E 2nd St Ste 400p1, Reno, NV 89502-1262 | 2020-10-19 |
| 1902410830 | Christina Ann Krainbrink | Nurse Practitioner | 2094 Long Meadow Dr, Reno, NV 89521-4506 | 2020-09-08 |
| 1598382244 | Kathy Goldsworthy | Nurse Practitioner | 2211 Enterprise Rd, Reno, NV 89521-7438 | 2020-06-29 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1659834091 | Janet Choi | Nurse Practitioner | 6629 S Virginia St, Reno, NV 89511-1168 | 2019-04-11 |
| 1295218691 | Thrive Enterprises LLC | Nurse Practitioner | 7111 S Virginia St Ste A12, Reno, NV 89511-1135 | 2018-09-11 |
| 1932688280 | Gerald Justin Enox | Nurse Practitioner | 370 Bible Camp Rd, Reno, TX 75462 | 2018-08-08 |
| 1750860995 | Darci Page | Nurse Practitioner | 500 Damonte Ranch Pkwy Ste 703, Reno, NV 89521-3911 | 2018-08-08 |
| 1528573227 | Jennifer Ann Woolf | Nurse Practitioner | 8165 Fire Opal Lane, Reno, NV 89506 | 2017-12-05 |
| 1912422957 | Trucare Health Services, LLC | Nurse Practitioner | 9930 Rising Sun Ct, Reno, NV 89506 | 2017-08-10 |
| 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.