| Body And Mind Health Partners | |
|
701 S Carson St Ste 200 Carson City NV 89701-5239 | |
| (830) 285-8882 | |
| Not Available |
| Full Name | Body And Mind Health Partners |
|---|---|
| Speciality | Family Medicine |
| Location | 701 S Carson St Ste 200, Carson City, Nevada |
| Authorized Official Name and Position | Zachary Giebler (EXECUTIVE VP OF OPERATIONS) |
| Authorized Official Contact | 8302858882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Body And Mind Health Partners Po Box 29650 (dept #880715) Phoenix AZ 85038-9650 Ph: (830) 285-8882 | Body And Mind Health Partners 701 S Carson St Ste 200 Carson City NV 89701-5239 Ph: (830) 285-8882 |
| NPI Number | 1730961160 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 03/13/2025 |
| Medicare PECOS PAC ID | 7113374307 |
|---|---|
| Medicare Enrollment ID | O20231109001123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730961160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Julie Rowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871923532 PECOS PAC ID: 8224257423 Enrollment ID: I20140922000702 |
| Provider Name | Marissa Schanbacher Adolfo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700302791 PECOS PAC ID: 5991079568 Enrollment ID: I20180207002903 |
| Provider Name | Rachel H Campbell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487071635 PECOS PAC ID: 2860612819 Enrollment ID: I20180531001369 |
| Provider Name | Mary Denisse Toribio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326649468 PECOS PAC ID: 9436563798 Enrollment ID: I20210127001774 |
| Provider Name | Liliana M Lacayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194473116 PECOS PAC ID: 6800273491 Enrollment ID: I20220520000944 |
| Provider Name | Amanda Rose Serrao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962183301 PECOS PAC ID: 4486096914 Enrollment ID: I20240529001882 |
| Provider Name | Samuel Jurca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962069203 PECOS PAC ID: 7911237482 Enrollment ID: I20240529002879 |
| Provider Name | Brenda Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376997130 PECOS PAC ID: 5799078408 Enrollment ID: I20241010001489 |
| Provider Name | Ma Renzel Therezna Samonte Caparros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194557702 PECOS PAC ID: 0547793945 Enrollment ID: I20241023003664 |
| Provider Name | Stacey Raybuck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720020076 PECOS PAC ID: 0941230858 Enrollment ID: I20241114004527 |
| Provider Name | Jesse Thomas Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619798840 PECOS PAC ID: 4284163346 Enrollment ID: I20250120000229 |
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