Fallon Paiute Shoshone Tribe

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

FALLON PAIUTE SHOSHONE TRIBE

Practice address

2101 Agency Rd
Fallon, NV 89406-7142

Phone

(775) 423-1132

Fax

(775) 423-3205

NPI assigned

Mar 19, 2008

Organization subpart

Yes

Parent organization

FALLON PAIUTE SHOSHONE TRIBEAs reported in NPPES

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

Authorized official

Name

Ms. Bonnie Rushford, MSW

Title

Human Services Director

Phone

(775) 423-1215

Specialties & licenses 1

Addresses

Other names 1

• Stepping Stones Other name

Tax ID family

Fallon Paiute Shoshone Tribe2 organizations share this tax ID, including this one

Part of

Fallon Paiute Shoshone Tribe

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stepping Stones Youth Facility

  • Cognitive & Behavioral Psychologist
  • Fallon, NV
  • NPI 1184954604
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73726

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1649441502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 RIO VISTA ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894066415",
            "telephone_number": "775-423-1132",
            "fax_number": "775-423-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 AGENCY RD",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894067142",
            "telephone_number": "775-423-1132",
            "fax_number": "775-423-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLON PAIUTE SHOSHONE TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FALLON PAIUTE SHOSHONE TRIBE",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "RUSHFORD",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "HUMAN SERVICES DIRECTOR",
        "authorized_official_telephone_number": "775-423-1215",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stepping Stones",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristyna Fairley
• Fallon Family Chiropractic
• Fallon Family Dental Care
• Fallon Family Wellness Center
• Fallon Hearts at Home
• Fallon Physical Therapy
• Fallon Tribal Health Center
• Fallon Tribal Health Center
• Family Medical Center
• Lisa Favstritsky

• Case Manager/Care Coordinator in Fallon, NV
• Providers in Fallon, NV by specialty
• Case Manager/Care Coordinator in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.