CARLY WALLER
NPI 1821780735
Student in an Organized Health Care Education/Training Program in Reno, NV

Q: What is Carly Waller's NPI number?

The NPI number for Carly Waller is 1821780735. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Q: What is Carly Waller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Carly Waller was last updated on November 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 22, 2023PECOS Enrolled

18600 WEDGE PKWY, RENO, NV 89511(775) 283-8461 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 6, 2024, May 22, 2023 (2 updates tracked since 2023).

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About Carly Waller NPPES

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

CARLY WALLER (NPI 1821780735) is an individual student in an organized health care education/training program in Reno, Nevada and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821780735

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCARLY WALLER

Location Address18600 WEDGE PKWYReno, NV 89511-3036

Mailing Address235 Terrace StAshland, OR 97520-2834 · (775) 283-8461

Phone(775) 283-8461

Sole ProprietorNo

Enumeration DateMay 22, 2023

Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration

NPPES CertifiedNovember 6, 2024

✔ NPI 1821780735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

18600 WEDGE PKWY, Reno, NV 89511

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Waller 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.