Individual provider Active NPI

Malia Pruyn

  • Case Manager/Care Coordinator
  • Reno, NV
National Provider Identifier
1811688187
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
850 Mill St Ste 100
Reno, NV 89502-1463
Phone
(775) 538-6700
NPI assigned
May 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

850 Mill St Ste 100
Reno, NV 89502-1463

Mailing address

850 Mill St
Reno, NV 89502-1413

Other practice location 1

5412 Boulder Hwy
Las Vegas, NV 89122-6039
Phone (702) 291-7121

Other practice location 2

3312 W Charleston Blvd
Las Vegas, NV 89102-1829
Phone (702) 971-2300

Other practice location 3

315 Record St Ste 100
Reno, NV 89512-3327
Phone (775) 405-4111

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

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1811688187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MILL ST STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021463",
            "telephone_number": "775-538-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5412 Boulder Hwy",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891226039",
            "country_code": "US",
            "telephone_number": "702-291-7121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3312 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021829",
            "country_code": "US",
            "telephone_number": "702-971-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Record St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895123327",
            "country_code": "US",
            "telephone_number": "775-405-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUYN",
        "first_name": "MALIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "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 May 17, 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.