CARISSA SHANTI KLARICH MD
NPI 1477293132
Student in an Organized Health Care Education/Training Program in Reno, NV

Active since March 30, 2022PECOS Enrolled
745 W MOANA LN STE 300, RENO, NV 89509(775) 682-8453 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carissa Shanti Klarich Md NPPES

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

CARISSA SHANTI KLARICH MD (NPI 1477293132) is an individual student in an organized health care education/training program in Reno, Nevada and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477293132
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCARISSA SHANTI KLARICHCredential: MD
Location Address745 W MOANA LN STE 300Reno, NV 89509-4980
Mailing Address745 W Moana Ln Ste 300Reno, NV 89509-4980 · (775) 682-8453
Sole ProprietorNo
Enumeration DateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1477293132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

745 W MOANA LN STE 300, Reno, NV 89509

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carissa Shanti Klarich Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
745 W MOANA LN STE 300
RENO, NV 89509
Student in an Organized Health Care Education/Training Program
745 W MOANA LN STE 300
RENO, NV 89509
Student in an Organized Health Care Education/Training Program
745 W MOANA LN STE 300
RENO, NV 89509
Student in an Organized Health Care Education/Training Program
745 W MOANA LN STE 300
RENO, NV 89509
Student in an Organized Health Care Education/Training Program
745 W MOANA LN STE 300
RENO, NV 89509
Student in an Organized Health Care Education/Training Program
745 W MOANA LN STE 300
RENO, NV 89509
Student in an Organized Health Care Education/Training Program
745 W MOANA LN STE 300
RENO, NV 89509
Student in an Organized Health Care Education/Training Program
745 W MOANA LN STE 300
RENO, NV 89509

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477293132, enumerated as an "individual" on March 30, 2022.

The provider is located at 745 W MOANA LN STE 300 RENO, NV 89509 and the phone number is (775) 682-8453.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.