Micaelle Reserve

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

776983 Issued in NY

Practice address

50 Clinton St
Hempstead, NY 11550-4281

Phone

(516) 933-0485

NPI assigned

Jan 31, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1326461971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CLINTON STREET",
            "city": "HEAMPSTEAD",
            "state": "NY",
            "postal_code": "11550",
            "telephone_number": "516-933-0485",
            "fax_number": "516-933-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CLINTON ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504281",
            "telephone_number": "516-933-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESERVE",
        "first_name": "MICAELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "776983",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "317658-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Red Door Therapeutic Services LLC
• Natalia Iman Victoria Reid, CD/PCD
• Herbert S Rein, RPH
• Sarthe Remy
• Yaixa Rentas-Torres, MD
• Kristen Resnick, MEDICAL ASSISTANT
• Clara Restrepo, RPH
• Michelle Reyes, MSW
• Lorna Thelma Richardson
• Monique Richardson, MEDICAL ASSISTANT

• Home Health Registered Nurse in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.