Active NPI
Deborah Ann Zelisse, SWR
- Case Management Agency
- Reno, NV
National Provider Identifier
1700022787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 1399 SW
- Practice address
- 745 W Moana LN
Suite 100
Reno, NV 89509-4991 - Phone
- (775) 334-3033
- Fax
- (775) 334-3022
- NPI assigned
- Dec 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 1399 SW | NV | Primary |
Addresses
Primary practice location
745 W Moana LN
Suite 100
Reno, NV 89509-4991
Mailing address
745 W Moana LN
Suite 100
Reno, NV 89509-4991
Phone (775) 334-3033
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1399 SW | NV | MD | Case Management Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1700022787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 W MOANA LN",
"address_2": "SUITE 100",
"city": "RENO",
"state": "NV",
"postal_code": "895094991",
"telephone_number": "775-334-3033",
"fax_number": "775-334-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 W MOANA LN",
"address_2": "SUITE 100",
"city": "RENO",
"state": "NV",
"postal_code": "895094991",
"telephone_number": "775-334-3033",
"fax_number": "775-334-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELISSE",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "SWR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-23",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NV",
"license": "1399 SW",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.