Individual provider Active NPI

Reena Jiten Majithia, FNP-BC

  • Family Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1043978646
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1059872 Issued in TX
Practice address
120 Eastshore Dr Ste 210
Glen Allen, VA 23059-5644
Phone
(877) 764-3574
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1059872 TX Primary

Addresses

Primary practice location

120 Eastshore Dr Ste 210
Glen Allen, VA 23059-5644

Mailing address

3230 Granard LN
Charlotte, NC 28269-6754
Phone (980) 406-1253

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL MicrosoftTeams Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1059872TXMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1043978646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 GRANARD LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282696754",
            "telephone_number": "980-406-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 EASTSHORE DR STE 210",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595644",
            "telephone_number": "877-764-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJITHIA",
        "first_name": "REENA",
        "middle_name": "JITEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1059872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MicrosoftTeams",
            "affiliation": "N",
            "endpointDescription": "MicrosoftTeams",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 Eastshore Dr Ste 210",
            "city": "Glen Allen",
            "state": "VA",
            "country_code": "US",
            "postal_code": "230595644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.