Peavine Podiatric Physicians,LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0107 Issued in NV

Legal business name

PEAVINE PODIATRIC PHYSICIANS,LLC

Practice address

645 N Arlington Ave
Ste 660
Reno, NV 89503-4505

Phone

(775) 746-3338

Fax

(775) 746-3343

NPI assigned

Jul 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Corolinda Sehelasa HeluNPI 1205822566

Title

DPM/Owner

Phone

(775) 746-3338

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corolinda Sehelasa Helu, DPM

  • Primary Podiatric Medicine Podiatrist
  • Wallkill, NY
  • NPI 1205822566
  NPD (past) Authorized official
• Annette K Nannizzi Cassity, DC

  • Chiropractor
  • Wheat Ridge, CO
  • NPI 1700910023
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1386677367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5981",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895135981",
            "telephone_number": "775-746-3338",
            "fax_number": "775-746-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE",
            "address_2": "STE 660",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034505",
            "telephone_number": "775-746-3338",
            "fax_number": "775-746-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAVINE PODIATRIC PHYSICIANS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HELU",
        "authorized_official_first_name": "COROLINDA",
        "authorized_official_middle_name": "SEHELASA",
        "authorized_official_title_or_position": "DPM/OWNER",
        "authorized_official_telephone_number": "775-746-3338",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "0107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "CC8579",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Pearson
• Basilia Pearson
• Greta Cynthia Pearson, SLP
• Jeff Pearson, DVM
• Tiffany Pearson
• Pebbles Psychiatry LLC
• Kristi Pebley
• Edyl Zarah Y Peck
• Joel Peck, PT, DPT,
• Kayla L. Peck

• Specialist in Reno, NV
• Providers in Reno, NV by specialty
• Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.