Individual provider Active NPI

Susan H. Reinecke, DVM

  • Veterinarian
  • Weaverville, NC
National Provider Identifier
1174894653
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
4179 Issued in NC
Practice address
121 Barnardsville Hwy
Weaverville, NC 28787-8626
Phone
(828) 645-1616
Fax
(828) 645-1112
NPI assigned
Jan 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 4179 NC Primary

Addresses

Primary practice location

121 Barnardsville Hwy
Weaverville, NC 28787-8626

Mailing address

121 Barnardsville Hwy
Weaverville, NC 28787-8626
Phone (828) 645-1616

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
4179NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1174894653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BARNARDSVILLE HWY",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287878626",
            "telephone_number": "828-645-1616",
            "fax_number": "828-645-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BARNARDSVILLE HWY",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287878626",
            "telephone_number": "828-645-1616",
            "fax_number": "828-645-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINECKE",
        "first_name": "SUSAN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NC",
            "license": "4179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.