Kailey E Crommelin

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

850 Mill St
Reno, NV 89502

Phone

(775) 544-9143

NPI assigned

Aug 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1821513409",
    "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",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89502",
            "telephone_number": "775-544-9143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Mill St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021321",
            "country_code": "US",
            "telephone_number": "775-954-1400 x106",
            "fax_number": "775-954-1406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROMMELIN",
        "first_name": "KAILEY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "02173-I",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Criterion , Inc.
• Persephone A Crittenden, PSY.D.
• Cari L. Croghan, MD
• Kiana Crom
• Laurie Crom, MA, MFT
• Natalie Anne Crooks
• Sasha Crosby
• Jennifer A Cross, MA, OTR/L
• Johanna Cross
• Makayla Cross

• Case Manager/Care Coordinator in Reno, NV
• Providers in Reno, 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 May 21, 2018; 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.