Individual provider Active NPI

Reatha Johnson, RN

  • Registered Nurse
  • Columbia, SC
National Provider Identifier
1275852436
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
38623 Issued in SC
Practice address
101 Rice Bent Way
Unit 8
Columbia, SC 29229-6849
Phone
(803) 865-8113
Fax
(803) 865-8173
NPI assigned
May 26, 2010
Last updated
May 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 38623 SC Primary

Addresses

Primary practice location

101 Rice Bent Way
Unit 8
Columbia, SC 29229-6849

Mailing address

101 Rice Bent Way
Unit 8
Columbia, SC 29229-6849
Phone (803) 865-8113

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
38623SCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rest Assured Family Services Current Accepting new patients
Rest Assured, LLC Current Accepting new patients
Rest Assured Hospice and Home Care Current Accepting new patients

Locations

101 Rice Bent Way
Ste 8
Columbia, SC 29229
Phone (803) 865-8113

Organizations & group practices 4

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": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1275852436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RICE BENT WAY",
            "address_2": "UNIT 8",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292296849",
            "telephone_number": "803-865-8113",
            "fax_number": "803-865-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RICE BENT WAY",
            "address_2": "UNIT 8",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292296849",
            "telephone_number": "803-865-8113",
            "fax_number": "803-865-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REATHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "38623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.