Reignite and Reform LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

REIGNITE AND REFORM LLC

Practice address

121 Granby Park
Norfolk, VA 23505-4101

Phone

(516) 710-3498

NPI assigned

Jan 24, 2025

Organization subpart

No

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

Authorized official

Name

Trina R Berry, NURSE PRACTITIONERNPI 1588916936

Title

Pmhnp-BC

Phone

(516) 710-3498

Specialties & licenses 1

Addresses

Tax ID family

Reignite and Reform LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Reignite and Reform LLC

  • Community/Behavioral Health Agency
  • Norfolk, VA
  • NPI 1376391771
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trina R Berry, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Newport News, VA
  • NPI 1588916936
  NPD Authorized official

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1295547339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 GRANBY PARK",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054101",
            "telephone_number": "516-710-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 GRANBY PARK",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054101",
            "telephone_number": "516-710-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIGNITE AND REFORM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "516-710-3498",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Guy Reid
• Rebecca Reid, LCSW
• James Lawrence Reif, MD
• Kent Lee Reifschneider, M.D.
• Logan S Reigel
• Reignite and Reform LLC
• Sabrina Reilly, PHARMD
• Lori Louise Reimer, NP
• Lauren Reinaman Furrow, CRNA
• Pamela Cruz Reiser, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.