Individual ProviderEthan SharpeCase Manager/Care CoordinatorOther Service ProvidersPractice Address890 Mill St Ste 300, Reno, NV 89502-1436(775) 538-6700PECOS EnrollmentBased on the most recent information from CMS, provider Ethan Sharpe does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1518498997Provider TypeIndividualFull NameSharpe, EthanGenderMaleSole ProprietorYesEnumeration Date3/27/2017Last Updated11/3/2020Contact InformationPractice LocationPractice Address890 Mill St Ste 300, Reno, NV 89502-1436Phone(775) 538-6700FaxUnlisted FaxMailing LocationMailing Address890 Mill St Ste 300, Reno, NV 89502-1436Phone(775) 538-6700FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1104389089DescriptionMedicaidIssuerUnlistedNevada