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TREVOR WALLACE
NPI 1417386350
Case Manager/Care Coordinator in Reno, NV

Active since November 01, 2013
315 RECORD ST STE 103, RENO, NV 89512(775) 405-4111(775) 622-8611 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trevor Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TREVOR WALLACE (NPI 1417386350) is an individual case manager/care coordinator provider in Reno, Nevada and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1417386350
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameTREVOR WALLACE
Location Address315 RECORD ST STE 103Reno, NV 89512-3327
Mailing Address1733 N Dollner CtVisalia, CA 93291-1932 · (559) 731-2833
Phone(775) 405-4111
Fax(775) 622-8611
Sole ProprietorYes
Enumeration DateNovember 1, 2013
Last NPPES UpdateApril 16, 2020
NPPES CertifiedApril 16, 2020
✔ NPI 1417386350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
315 RECORD ST STE 103, Reno, NV 89512
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH J GARRETT
Behavior Technician
315 RECORD ST STE 103
RENO, NV 89512
Washoe County (775) 348-8811
JASMIN BORREGO
Counselor (Addiction (Substance Use Disorder))
315 RECORD ST STE 103
RENO, NV 89512
Washoe County (775) 405-4111
MIREYA DURON RODRIGUEZ
Behavior Technician
315 RECORD ST STE 103
RENO, NV 89512
Washoe County (775) 348-8811
JENNIFER CUNNINGHAM
Specialist/Technologist, Health Information (Registered Record Administrator)
315 RECORD ST STE 103
RENO, NV 89512
Washoe County (775) 348-8811
MOLLY MERROW NICHOLSON
Registered Nurse (Addiction (Substance Use Disorder))
315 RECORD ST STE 103
RENO, NV 89512
Washoe County (775) 348-8811
JEREMY SCOTT LANDIS
Counselor (Addiction (Substance Use Disorder))
315 RECORD ST STE 103
RENO, NV 89512
Washoe County (775) 348-8811
MRS. JULIE A POMI RN
Registered Nurse
315 RECORD ST STE 103
RENO, NV 89512
Washoe County (775) 348-8811
MEDTRANS RENO CASAL PLLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
315 RECORD ST STE 103
RENO, NV 89512
Washoe County (775) 405-4111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trevor Wallace's NPI number?

The NPI number for Trevor Wallace is 1417386350. It was assigned to this individual provider in the NPPES registry on November 1, 2013.

Where is Trevor Wallace located?

Trevor Wallace practices at 315 Record St Ste 103, Reno, NV 89512. The listed phone number is (775) 405-4111.

What is Trevor Wallace's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Trevor Wallace was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.