Individual provider Active NPI

Kathleen Sharon Landry-Morinaga, CADC

  • Case Manager/Care Coordinator
  • Carson City, NV
National Provider Identifier
1649618752
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
00276-C Issued in NV
Practice address
205 S Pratt Ave
Carson City, NV 89701-4730
Phone
(775) 882-3945
Fax
(775) 882-6126
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 00276-C NV Primary
Rehabilitation Practitioner 225400000X

Addresses

Primary practice location

205 S Pratt Ave
Carson City, NV 89701-4730

Mailing address

205 S Pratt Ave
Carson City, NV 89701-4730
Phone (775) 882-3945

Other names 1

  • Kathleen Sharon Mayer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00276-CNVMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1649618752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S PRATT AVE",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014730",
            "telephone_number": "775-882-3945",
            "fax_number": "775-882-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S PRATT AVE",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897014730",
            "telephone_number": "775-882-3945",
            "fax_number": "775-882-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY-MORINAGA",
        "first_name": "KATHLEEN",
        "middle_name": "SHARON",
        "credential": "CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NV",
            "license": "00276-C",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MAYER",
            "middle_name": "SHARON",
            "credential": "CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 19, 2013; 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.