Individual provider Active NPI

Amy Michele Korn-Reavis, RRT, CCHS

  • General Care Certified Respiratory Therapist
  • Orlando, FL
National Provider Identifier
1164180394
Registry record updated Dec 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Certified Respiratory TherapistTaxonomy code 2278G1100X
License
RT12470 Issued in FL
Practice address
9573 Turkey Oak BND
Orlando, FL 32817-2743
Phone
(407) 517-8129
NPI assigned
Dec 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Educational Certified Respiratory Therapist 2278E1000X RT12470 FL
General Care Certified Respiratory Therapist 2278G1100X RT12470 FL Primary

Addresses

Primary practice location

9573 Turkey Oak BND
Orlando, FL 32817-2743

Mailing address

9573 Turkey Oak BND
Orlando, FL 32817-2743
Phone (407) 517-8129

Other names 1

  • Amy Michele Mensakc 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

State licenses

LicenseStateTypeSpecialty
RT12470FLMDEducational Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1638662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638662400000",
    "number": "1164180394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9573 TURKEY OAK BND",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172743",
            "telephone_number": "407-517-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9573 TURKEY OAK BND",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172743",
            "telephone_number": "407-517-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORN-REAVIS",
        "first_name": "AMY",
        "middle_name": "MICHELE",
        "credential": "RRT, CCHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-05",
        "last_updated": "2021-12-05",
        "certification_date": "2021-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Educational",
            "state": "FL",
            "license": "RT12470",
            "primary": false
        },
        {
            "code": "2278G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": "FL",
            "license": "RT12470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MENSAKC",
            "middle_name": "MICHELE",
            "credential": "RRT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2021; 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.