Individual provider Active NPI

Andrea Celene Reischerl, APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Uncasville, CT
National Provider Identifier
1073821187
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
002533 Issued in CT
Practice address
986 Norwich New London Tpke
Uncasville, CT 06382-1928
Phone
(860) 848-5874
Fax
(860) 848-5802
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X E56717 DE
Registered Nurse 163W00000X E56717 CT
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 002533 CT Primary

Addresses

Primary practice location

986 Norwich New London Tpke
Uncasville, CT 06382-1928

Mailing address

53 Hyde Park Rd
North Franklin, CT 06254-1002
Phone (860) 848-5874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002533CTMDClinical Social Worker
E56717CTMDRegistered Nurse
E56717DEMDRegistered Nurse

Interoperability endpoints

  • Direct secure messaging: andrea.reischerl@xdr.hhchealthdirect.org

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1073821187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 HYDE PARK RD",
            "city": "NORTH FRANKLIN",
            "state": "CT",
            "postal_code": "062541002",
            "telephone_number": "860-848-5874",
            "fax_number": "860-848-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 NORWICH NEW LONDON TPKE",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063821928",
            "telephone_number": "860-848-5874",
            "fax_number": "860-848-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISCHERL",
        "first_name": "ANDREA",
        "middle_name": "CELENE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "E56717",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "E56717",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "002533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uncasville, CT

Sources for this page

Verify at the official NPI Registry.