Carol A Reeb, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209000369 Issued in IL

Practice address

1702 S Mattis Ave
Anesthesiology
Champaign, IL 61821-5469

Phone

(217) 326-2000

Fax

(217) 326-2016

NPI assigned

Jan 30, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1467598029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST.",
            "address_2": "BWPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-383-6792",
            "fax_number": "217-383-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S MATTIS AVE",
            "address_2": "ANESTHESIOLOGY",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618215469",
            "telephone_number": "217-326-2000",
            "fax_number": "217-326-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEB",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209000369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Michele Ray, LMT
• Rdi Vein LLC
• Rachel M Reardon, LCSW
• Recovery Options of Champaign County LTD
• Redemptive Health Solutions LLC
• Taylor Reed, NP
• Eugenia Reeves, LCSW
• Regan Marie Therapy
• John S. Regan, M.D.
• Rehabtech, Inc.

• Certified Registered Nurse Anesthetist in Champaign, IL
• Providers in Champaign, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.