Active NPI
Gina M Reitmeyer
- Pediatric Nurse Practitioner
- Monroe, CT
National Provider Identifier
1083625123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 001501
- Practice address
- 401 Monroe Tpke
Canterbury Pediatrics
Monroe, CT 06468-2276 - Phone
- (203) 452-1063
- Fax
- (203) 445-8926
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 001501 | CT | Primary |
Addresses
Primary practice location
401 Monroe Tpke
Canterbury Pediatrics
Monroe, CT 06468-2276
Mailing address
401 Monroe Tpke
Canterbury Pediatrics
Monroe, CT 06468-2276
Phone (203) 452-1063
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TIN | Other | CONSUMER HEALTH NETWORK | |
| TIN | Other | MULTIPLAN | |
| 230001501CT01 | Other | CT | BLUE CARE FAMILY PLAN |
| P3624783 | Other | CT | OXFORD HEALTH PLANS |
| TIN | Other | PIONEER | |
| TIN | Other | GREAT WEST | |
| TIN | Other | NEHCA | |
| TIN | Other | COMMUNITY HEALTH NETWORK | |
| 2V6129 | Other | CT | HEALTH NET |
| 010501 | Other | CT | CONNECTICARE |
| TIN | Other | PHCS | |
| TIN | Other | NORTHEAST HEALTH DIRECT | |
| TIN | Other | NATIONAL PROVIDER NERTWOR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1083625123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MONROE TPKE",
"address_2": "CANTERBURY PEDIATRICS",
"city": "MONROE",
"state": "CT",
"postal_code": "064682276",
"telephone_number": "203-452-1063",
"fax_number": "203-445-8926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MONROE TPKE",
"address_2": "CANTERBURY PEDIATRICS",
"city": "MONROE",
"state": "CT",
"postal_code": "064682276",
"telephone_number": "203-452-1063",
"fax_number": "203-445-8926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITMEYER",
"first_name": "GINA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "001501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONSUMER HEALTH NETWORK",
"identifier": "TIN",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "TIN",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE FAMILY PLAN",
"identifier": "230001501CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P3624783",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIONEER",
"identifier": "TIN",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "TIN",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEHCA",
"identifier": "TIN",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH NETWORK",
"identifier": "TIN",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2V6129",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "010501",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "TIN",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTH DIRECT",
"identifier": "TIN",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROVIDER NERTWOR",
"identifier": "TIN",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.