Individual provider Active NPI

Elizabeth Jo Jenkins Reimherr, RNCS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Lynn, MA
National Provider Identifier
1366725400
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
RN2266545 Issued in MA
Practice address
173 Oxford St
Lynn, MA 01901-1117
Phone
(781) 268-2200
Fax
(781) 268-0465
NPI assigned
Sep 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 2266545 MA
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X RN2266545 MA Primary

Addresses

Primary practice location

173 Oxford St
Lynn, MA 01901-1117

Mailing address

173 Oxford St
3Rd Floor
Lynn, MA 01901-1117
Phone (781) 268-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000248 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 3870750680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Associates of Lynn PCGroup PAC ID 3476467952, 6 clinicians

Practice addresses (Care Compare)

173 Oxford St
Lynn, MA 01901-1117
Phone (781) 268-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2266545MAMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
RN2266545MAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Associates of Lynn PC CurrentSince Nov 7, 2011 Accepting new patients

Locations

173 Oxford St
Lynn, MA 01901
Phone (781) 268-2200

173 Oxford St
Fl 3
Lynn, MA 01901

270 Union St
Ste 3
Lynn, MA 01901
Phone (781) 268-2200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1366725400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 OXFORD ST",
            "address_2": "3RD FLOOR",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011117",
            "telephone_number": "781-268-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 OXFORD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011117",
            "telephone_number": "781-268-2200",
            "fax_number": "781-268-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMHERR",
        "first_name": "ELIZABETH",
        "middle_name": "JO JENKINS",
        "credential": "RNCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MA",
            "license": "2266545",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2266545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.