Active NPI
Christina M Reser, FNP-BC
- Family Nurse Practitioner
- Independence, MO
National Provider Identifier
1477907830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2016009883
- Practice address
- 16912 E Hart Ave
Independence, MO 64055-3040 - Phone
- (816) 529-1011
- NPI assigned
- Apr 21, 2016
- 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 | 2016009883 | MO | Primary |
Addresses
Primary practice location
16912 E Hart Ave
Independence, MO 64055-3040
Mailing address
10900 Nuckols Rd
Ste 110
Glen Allen, VA 23060-9246
Phone (804) 396-6412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ketamine and IV Therapy Clinic of Nwa LLC | Family | Current | Accepting new patients |
Locations
101 Grant Pl
Ste C
Lowell, AR 72745
Phone (479) 313-2382
1631 NE Douglas St
Lees Summit, MO 64086
Phone (816) 381-2050
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.
-
- Certified Registered Nurse Anesthetist
- Lowell, AR
- NPI 1609654847
Family, MO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501113600000",
"number": "1477907830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 NUCKOLS RD",
"address_2": "STE 110",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230609246",
"telephone_number": "804-396-6412",
"fax_number": "804-482-2756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16912 E HART AVE",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640553040",
"telephone_number": "816-529-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESER",
"first_name": "CHRISTINA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-21",
"last_updated": "2017-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2016009883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.