Moboluwaduro Remi-Johnson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

838792 Issued in NV

Practice address

55 Damonte Ranch Pkwy
Reno, NV 89521-2996

Phone

(775) 852-9304

NPI assigned

Sep 23, 2020

Last updated

Apr 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, WA, NM, OH4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Boulder Care Provider Group PAGroup PAC ID 6901217447, 115 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Boulder Care Provider Group PA

  dba Boulder Care

  • Addiction Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1649838590

  OH, WA

  Medicare reassignment Care Compare group NPD
• Workit Health Mi PLLC

  • General Practice Physician
  • Lakewood, WA
  • NPI 1134748643
  NPD
• Workit Health Mi PLLC

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1689403958
  NPD
• Workit Health Mi PLLC

  • General Practice Physician
  • Scottsdale, AZ
  • NPI 1730824863
  NPD
• Workit Health Mi PLLC

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1932796240
  NPD

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1386250439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DAMONTE RANCH PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895212996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 DAMONTE RANCH PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895212996",
            "telephone_number": "775-852-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMI-JOHNSON",
        "first_name": "MOBOLUWADURO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "838792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Reisig
• Luanne Reiter-Leslie, LCSW
• Reliant Senior Living LLC (Living Rehab)
• Rem Nevada Inc
• Thomas E Rembetski, M.D.
• Lynn Remington, PHD RDN CDE
• Remo Medical Group of Nevada Schlangel PC
• Alex Rendahl
• Chemane Rene
• Renee Carrico, MFT, NCSP and Darjeeling Therapy Therapy Services

• Family Nurse Practitioner in Reno, NV
• Providers in Reno, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.