Tracy E. Reinoso, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN074223 Issued in OH

Practice address

21921 Sherwood Dr
Fairview Park, OH 44126-3035

Phone

(440) 668-9180

NPI assigned

May 5, 2007

Last updated

Aug 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1326250788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 HILLSIDE RD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315402",
            "telephone_number": "440-668-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21921 SHERWOOD DR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263035",
            "telephone_number": "440-668-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINOSO",
        "first_name": "TRACY",
        "middle_name": "E.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-05",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN074223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2307426",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.