John Glenn Reber, RN

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

483766 Issued in CA

Practice address

1612 S Dora St
Ukiah, CA 95482-6519

Phone

(707) 367-0579

Fax

(707) 468-4313

NPI assigned

Mar 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1437458510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826519",
            "telephone_number": "707-367-0579",
            "fax_number": "707-468-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826519",
            "telephone_number": "707-367-0579",
            "fax_number": "707-468-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBER",
        "first_name": "JOHN",
        "middle_name": "GLENN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "483766",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "483766",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "CA",
            "license": "483766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "483766",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Russell Ray
• Rcoa-Adventist Health, LLC (Adventist Health PET/CT - Ukiah)
• Sean A Re, MFT
• Emily Elizabeth Rea, LM, CPM
• Reach Air Medical Services LLC
• Paula Redding
• Redwod Shore Empire, LLC (Redwood Empire Nursing & Rehabilitation Center)
• Redwood Community Services Inc
• Redwood Community Services, Inc
• Redwood Community Services, Inc

• Infusion Therapy Registered Nurse in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Infusion Therapy Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.