Individual provider Active NPI

Nancy Z Herrera Morales

  • Community Health Worker
  • Reno, NV
National Provider Identifier
1750893137
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
CHW1-5019 Issued in NV
Practice address
1055 S Wells Ave
Reno, NV 89502-2550
Phone
(775) 329-6300
Fax
(775) 348-3896
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CHW1-5019 NV Primary

Addresses

Primary practice location

1055 S Wells Ave
Reno, NV 89502-2550

Mailing address

680 S Rock Blvd
Reno, NV 89502-4113
Phone (775) 329-6300

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
CHW1-5019NVMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
I.C.a.N. Family Services LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1750893137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S ROCK BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024113",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 S WELLS AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022550",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA MORALES",
        "first_name": "NANCY",
        "middle_name": "Z",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": "CHW1-5019",
            "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 Jan 10, 2024; 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.