Individual provider Active NPI

Deanna Lynne Reising, PHD, RN

  • Medical-Surgical Clinical Nurse Specialist
  • Bloomington, IN
National Provider Identifier
1104675842
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X
License
28097386A Issued in IN
Practice address
3745 E Cleve Butcher CT
Bloomington, IN 47401-9332
Phone
(812) 320-6705
NPI assigned
May 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Clinical Nurse Specialist 364SM0705X 28097386A IN Primary

Addresses

Primary practice location

3745 E Cleve Butcher CT
Bloomington, IN 47401-9332

Mailing address

3745 E Cleve Butcher CT
Bloomington, IN 47401-9332
Phone (812) 320-6705

Other names 1

  • Deanna Lynne Yeley Former name

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
Credentials
Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
28097386AINMDMedical-Surgical Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1104675842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 E CLEVE BUTCHER CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474019332",
            "telephone_number": "812-320-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 E CLEVE BUTCHER CT",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474019332",
            "telephone_number": "812-320-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISING",
        "first_name": "DEANNA",
        "middle_name": "LYNNE",
        "credential": "PHD, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "IN",
            "license": "28097386A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "YELEY",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.