Individual provider Active NPI

Nina Reiss, RN

  • Family Nurse Practitioner
  • Yakima, WA
National Provider Identifier
1114391786
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
60894976 Issued in WA
Practice address
1300 N. 1St St.
Yakima, WA 98901
Phone
(509) 853-4327
NPI assigned
Nov 19, 2015
Last updated
Dec 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 60894976 WA Primary
Registered Nurse 163W00000X RN00169288 WA

Addresses

Primary practice location

1300 N. 1St St.
Yakima, WA 98901

Mailing address

306 N 31St Ave
Yakima, WA 98902-2336

Other practice location 1

104 N 4th Ave
Yakima, WA 98902-2636
Phone (509) 573-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20200204000555 WA Practitioner - Nurse Practitioner 3779919105 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN00169288WAMDRegistered Nurse
60894976WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartlinks CurrentSince Jan 12, 2025 Accepting new patients
Heartlinks CurrentSince Jan 12, 2025 Accepting new patients

Locations

204 W 2nd St
Grandview, WA 98930
Phone (509) 837-1676

Organizations & group practices 2

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": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1114391786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N 31ST AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N. 1ST ST.",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98901",
            "telephone_number": "509-853-4327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 N 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989022636",
            "country_code": "US",
            "telephone_number": "509-573-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISS",
        "first_name": "NINA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "60894976",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00169288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.