Individual provider Active NPI

Heaven Sierra Bernacchi, PCW

  • Case Manager/Care Coordinator
  • Ely, NV
National Provider Identifier
1871220004
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1675 Avenue F
Ely, NV 89301-3500
Phone
(775) 289-1671
Fax
(775) 289-1561
NPI assigned
Aug 8, 2022
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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 Coordinator 171M00000X Primary

Addresses

Primary practice location

1675 Avenue F
Ely, NV 89301-3500

Mailing address

State of Nevada Rural Clinics
727 Fairview Dr. Suite a
Carson City, NV 89701-5493
Phone (775) 684-5000

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": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1871220004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STATE OF NEVADA RURAL CLINICS",
            "address_2": "727 FAIRVIEW DR. SUITE A",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015493",
            "telephone_number": "775-684-5000",
            "fax_number": "775-687-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 AVENUE F",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893013500",
            "telephone_number": "775-289-1671",
            "fax_number": "775-289-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNACCHI",
        "first_name": "HEAVEN",
        "middle_name": "SIERRA",
        "credential": "PCW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ely, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.