MEDICARE: DOREEN R HILL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174H00000X	Health Educator
2	171M00000X	Case Manager/Care Coordinator
3	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1699636217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOREEN R HILL

Provider Business Mailing Address
First Line	:	1938 MORGAN CT
Second Line	:
City	:	GARDNERVILLE
State	:	NV
Zip	:	89410-7832
Country	:	US
Telephone Number	:	775-217-2369
Fax Number	:

Provider Business Practice Location Address
First Line	:	1693 NADOWA ST
Second Line	:
City	:	SOUTH LAKE TAHOE
State	:	CA
Zip	:	96150
Country	:	US
Telephone Number	:	775-217-2369
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	12/08/2025

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Directions to “ DOREEN R HILL ” Practice Location

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