Active NPI
Joanna Serieno Reeves, FNP
- Family Nurse Practitioner
- Greenville, SC
National Provider Identifier
1457739468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19422
- Practice address
- 200 Patewood Dr
Suite B460
Greenville, SC 29615 - Phone
- (864) 454-2226
- Fax
- (864) 454-2223
- NPI assigned
- May 11, 2015
- Sex
- Female
- 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 | 19422 | SC | Primary |
Addresses
Primary practice location
200 Patewood Dr
Suite B460
Greenville, SC 29615
Mailing address
1 Independence PT
Suite 212
Greenville, SC 29615-4545
Other names 1
- Joanna Rose Serieno
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1457739468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT",
"address_2": "SUITE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PATEWOOD DR",
"address_2": "SUITE B460",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29615",
"telephone_number": "864-454-2226",
"fax_number": "864-454-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "JOANNA",
"middle_name": "SERIENO",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-11",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "19422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNA",
"last_name": "SERIENO",
"middle_name": "ROSE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.