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Active NPI 1427860089 Individual Practitioner Female Practitioner

Chanmorokoth Tiv

Licensed Practical Nurse • Reno, NV

Professional Overview & Biography Verified Profile Summary

Chanmorokoth Tiv is a registered healthcare professional specializing in Licensed Practical Nurse in Reno, NV. Practice services are available at 10345 PROFESSIONAL CIR STE 125 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10345 Professional Cir Ste 125

Reno, NV 895213100

Telephone 7753487300
Fax 8552533789
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Reno, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
43 Specialists

Practicing in Reno, NV (560 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-22
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NV 884707

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Larissa Viner , RN

Registered Nurse

NPI 1003628165

Registered Nurse

Katherine Hollie

Licensed Practical Nurse

NPI 1013716513
Sabrina Foster , RN

Registered Nurse

NPI 1013787415

Registered Nurse

Krystle Mae Cordero

Behavior Technician

NPI 1033064761
Nicholas Mihaila , RN

Registered Nurse

NPI 1033947262

Registered Nurse

Maryellen Navarrro , RN

Registered Nurse

NPI 1043020647

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 22, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2025

Registered at 10345 PROFESSIONAL CIR STE 125, RENO, NV 895213100 (Tel: 7753487300)

📍
Updated Business Mailing Address January 22, 2025

Registered at 11039 ZEOLITE DR, RENO, NV 895061639 (Tel: 9163352207)

👤
Provider Name / Credentials Updated January 22, 2025

Recorded as CHANMOROKOTH TIV

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2025

Licensed Practical Nurse (License #884707 in NV)

🟢
Initial NPI Registration & Enumeration January 22, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427860089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2025
Last Update: January 22, 2025
Sole Proprietor: Yes

Mailing Address

11039 Zeolite Dr

Reno, NV 895061639

Phone: 9163352207

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.