Individual ProviderRaeven Blackman-ShippCase Manager/Care CoordinatorOther Service ProvidersPractice Address1280 Terminal Way, Suite 3, Reno, NV 89502-3219(775) 337-9359(775) 772-3544PECOS EnrollmentBased on the most recent information from CMS, provider Raeven Blackman-Shipp 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 ID1548641004Provider TypeIndividualFull NameBlackman-Shipp, RaevenGenderFemaleSole ProprietorNoEnumeration Date6/10/2015Last Updated6/10/2015Contact InformationPractice LocationPractice Address1280 Terminal Way, Suite 3, Reno, NV 89502-3219Phone(775) 337-9359FaxUnlisted FaxMailing LocationMailing Address755 Stoker Ave, Reno, NV 89503-4117Phone(775) 772-3544FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer