The Nevada Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4951 Issued in NV

Legal business name

THE NEVADA CENTER

Practice address

1231 Country Club Dr
Carson City, NV 89703-8372

Phone

(775) 884-3990

Fax

(775) 884-2202

NPI assigned

Dec 17, 2014

Organization subpart

No

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

Authorized official

Name

Frank Anthony Shallenberger, MDNPI 1346300035

Title

Medical Director

Phone

(775) 884-3990

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Anthony Shallenberger, M.D.

  • Family Medicine Physician
  • Carson City, NV
  • NPI 1346300035
  NPD (past) Authorized official
• Elizabeth Gabriel, FNP-BC

  • Family Nurse Practitioner
  • Reno, NV
  • NPI 1700667300
  NPD (past)
• Jessie Jean Laack, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Washoe Valley, NV
  • NPI 1811410871
  NPD (past)
• Carol Mallory, NURSE PRACTITIONER

  • Nurse Practitioner
  • Carson City, NV
  • NPI 1821243486
  NPD (past)
• Alyssa Marie Noomen, APRN

  • Family Nurse Practitioner
  • Lexington, KY
  • NPI 1710598669
  NPD (past)

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1972901320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 COUNTRY CLUB DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038372",
            "telephone_number": "775-884-3990",
            "fax_number": "775-884-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 COUNTRY CLUB DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897038372",
            "telephone_number": "775-884-3990",
            "fax_number": "775-884-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEVADA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "SHALLENBERGER",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "775-884-3990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "4951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "1346300035",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Healing Space
• The Health Lab, LLC
• The Life Change Center
• The Life Change Center
• The Mindful Goldfish LLC
• Theresa Simmons
• Thi of Nevada at Carson LLC
• Thi of Nevada at Carson LLC
• Thomas King Halow MDS LTD
• Emma Thomas, CRNA

• Internal Medicine Physician in Carson City, NV
• Providers in Carson City, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.