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 34 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