Active NPI
Jeffrey A Reichardt, NP
- Family Nurse Practitioner
- Lima, OH
National Provider Identifier
1346387123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.10079.NP
- Practice address
- 2440 Baton Rouge
Lima, OH 45805-5104 - Phone
- (419) 331-2273
- Fax
- (419) 331-4274
- NPI assigned
- Jan 31, 2007
- Last updated
- Feb 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.10079.NP | OH | Primary |
Addresses
Primary practice location
2440 Baton Rouge
Lima, OH 45805-5104
Mailing address
2440 Baton Rouge
Lima, OH 45805-5104
Phone (419) 331-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4775429 | Medicaid | MI |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.10079.NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC of Mi LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Reichardt Family Practice
- Family Nurse Practitioner
- Lima, OH
- NPI 1720378128
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Nursing Facility/Intermediate Care Facility
- Brentwood, TN
- NPI 1174794655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360800000000",
"number": "1346387123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 BATON ROUGE",
"city": "LIMA",
"state": "OH",
"postal_code": "458055104",
"telephone_number": "419-331-2273",
"fax_number": "419-331-4274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 BATON ROUGE",
"city": "LIMA",
"state": "OH",
"postal_code": "458055104",
"telephone_number": "419-331-2273",
"fax_number": "419-331-4274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHARDT",
"first_name": "JEFFREY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2013-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.10079.NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4775429",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.