Individual provider Active NPI

Whitney Reighard

  • Family Nurse Practitioner
  • Oregon, OH
National Provider Identifier
1073921433
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA15980-NP Issued in OH
Practice address
2751 Bay Park Dr
Suite 303
Oregon, OH 43616-4921
Phone
(419) 690-7676
Fax
(419) 690-7679
NPI assigned
Jul 30, 2014
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 COA15980-NP OH Primary

Addresses

Primary practice location

2751 Bay Park Dr
Suite 303
Oregon, OH 43616-4921

Mailing address

2751 Bay Park Dr
Suite 303
Oregon, OH 43616-4921
Phone (419) 690-7676

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wreighard29560@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140825000664 OH Practitioner - Nurse Practitioner 8527286178 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA15980-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Jan 1, 2017 Accepting new patients
Promedica Central Physicians CurrentSince Jan 1, 2017 Accepting new patients
Promedica Genito-Urinary Surgeons LLC Past Accepting new patients

Locations

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Interoperability endpoints

  • Direct secure messaging: wreighard29560@direct.promedica.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1073921433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 BAY PARK DR",
            "address_2": "SUITE 303",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164921",
            "telephone_number": "419-690-7676",
            "fax_number": "419-690-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BAY PARK DR",
            "address_2": "SUITE 303",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164921",
            "telephone_number": "419-690-7676",
            "fax_number": "419-690-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIGHARD",
        "first_name": "WHITNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA15980-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wreighard29560@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.