Active NPI
Emanuella Pomerlyan
- Family Nurse Practitioner
- Carson City, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN00238
- Practice address
- 1200 Mountain St
Carson City, NV 89703-3821 - Phone
- (775) 882-1324
- NPI assigned
- Jan 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN00238 | NV | Primary |
Addresses
Primary practice location
1200 Mountain St
Carson City, NV 89703-3821
Mailing address
1200 Mountain St
Carson City, NV 89703-3821
Phone (775) 882-1324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN00238 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals of California | Current | Accepting new patients | |
| Carson Medical Group Professional Corporation | Current | Accepting new patients | |
| Saint Marys Medical Group Inc. | Current | Accepting new patients |
Locations
1801 W Olympic Blvd
#1461
Pasadena, CA 91199
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
1946 Old Hot Springs Rd
Carson City, NV 89706
Phone (775) 283-5050
1200 Mountain St
Carson City, NV 89703
Phone (775) 882-1324
925 Ironwood Dr
Ste 2111
Minden, NV 89423
Phone (775) 283-5050
411 W 6th St
Reno, NV 89503
Phone (775) 770-3209
18653 Wedge Pkwy
Ste 300
Reno, NV 89511
Phone (775) 770-7210
Interoperability endpoints
- emanuella.pomerlyan.1@30520.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/ABJDAA
- emanuella.pomerlyan@344835852861444.direct.elationemr.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Carson City, NV
- NPI 1780694620
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1346658614
-
- Primary Care Clinic/Center
- Reno, NV
- NPI 1538424239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1083159719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 MOUNTAIN ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897033821",
"telephone_number": "775-882-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MOUNTAIN ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897033821",
"telephone_number": "775-882-1324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMERLYAN",
"first_name": "EMANUELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-04",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN00238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.