| Washoe Tribal Health Clinic | |
|
1559 Watasheamu Gardnerville NV 89460-7455 | |
| (775) 265-4215 | |
| (775) 265-6071 |
| Full Name | Washoe Tribal Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1559 Watasheamu, Gardnerville, Nevada |
| Authorized Official Name and Position | Teri Gilbert-eisenga (DIRECTOR, TRIBAL HEALTH) |
| Authorized Official Contact | 7752658621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washoe Tribal Health Clinic 1559 Watasheamu Gardnerville NV 89460-7455 Ph: (775) 265-8622 | Washoe Tribal Health Clinic 1559 Watasheamu Gardnerville NV 89460-7455 Ph: (775) 265-4215 |
| NPI Number | 1396778379 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 05/25/2022 |
| Medicare PECOS PAC ID | 8527971662 |
|---|---|
| Medicare Enrollment ID | O20050602000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396778379 | NPI | - | NPPES |
| 1396778379 | Medicaid | NV | |
| 1396778379 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | FEDERAL FACILITY (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Nicole A Tradup |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114016938 PECOS PAC ID: 2163491796 Enrollment ID: I20040929001071 |
| Provider Name | Loren P Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023042058 PECOS PAC ID: 6800835919 Enrollment ID: I20050428000295 |
| Provider Name | Scott C Storm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013002336 PECOS PAC ID: 9638170806 Enrollment ID: I20070131000217 |
| Provider Name | Patricia Ferraro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356301675 PECOS PAC ID: 9436175825 Enrollment ID: I20160609002433 |
| Provider Name | Bela Bert Toth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346650595 PECOS PAC ID: 6901171438 Enrollment ID: I20171009002063 |
| Provider Name | Paul Ramirez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1073726923 PECOS PAC ID: 8426310996 Enrollment ID: I20180321000331 |
| Provider Name | Chinelo Pearl Nwaogbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275033391 PECOS PAC ID: 8628329604 Enrollment ID: I20181002001109 |
| Provider Name | Susan Lynn Cocores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477030427 PECOS PAC ID: 7517294507 Enrollment ID: I20190814001492 |
| Provider Name | Taylor Christensen Cruz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548840333 PECOS PAC ID: 6103206776 Enrollment ID: I20220629002738 |
| Provider Name | Ulla Yandell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811407877 PECOS PAC ID: 2860818200 Enrollment ID: I20220815000669 |
| Provider Name | Elmer Alegre |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1013009513 PECOS PAC ID: 8325038995 Enrollment ID: I20220815002916 |
| Provider Name | Valerie Ignatenko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568957165 PECOS PAC ID: 9335487867 Enrollment ID: I20220816000303 |
| Provider Name | Theresa Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316561202 PECOS PAC ID: 9335554617 Enrollment ID: I20220824000289 |
| Provider Name | Isaiah Ulibarri |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194962621 PECOS PAC ID: 5890843239 Enrollment ID: I20221206000837 |
| Provider Name | Jemia Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023475142 PECOS PAC ID: 0941592505 Enrollment ID: I20230221001800 |
| Provider Name | Lyndsey Kramm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295515658 PECOS PAC ID: 8628411246 Enrollment ID: I20240209002624 |
| Provider Name | Danielle Lukins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932426608 PECOS PAC ID: 0244566701 Enrollment ID: I20240220002074 |
Washoe Tribal Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1559 Watasheamu, Gardnerville, NV 89460 Phone: 775-265-4215 Fax: 775-265-6071 | |
Qsmedico Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 Us Highway 395 N, Gardnerville, NV 89410 Phone: 702-453-3799 Fax: 702-453-5741 | |
Carson Valley Medical Center Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1520 Virginia Ranch Rd, Gardnerville, NV 89410 Phone: 775-782-1550 Fax: 775-782-1513 | |
Thais Sierra Pacific Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1107 Us Highway 395 N, Gardnerville, NV 89410 Phone: 702-453-3799 Fax: 702-453-5741 | |
Gd Schwartz Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 Highway 395, Carson Valley Medical Center, Gardnerville, NV 89410 Phone: 775-901-1944 | |
Motion Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 Us Highway 395 N Ste 305, Gardnerville, NV 89410 Phone: 775-392-4545 Fax: 775-392-4547 |