Active NPI
Rebekkah Casi Reisner, RN
- Registered Nurse
- Riverside, OH
National Provider Identifier
1508465600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.438724
- Practice address
- 5312 Underwood Rd
Riverside, OH 45431-2853 - Phone
- (937) 409-9249
- NPI assigned
- Oct 20, 2020
- Last updated
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0084464 | OH | |
| Registered Nurse | 163W00000X | RN.438724 | OH | Primary |
Addresses
Primary practice location
5312 Underwood Rd
Riverside, OH 45431-2853
Mailing address
5312 Underwood Rd
Riverside, OH 45431-2853
Phone (937) 409-9249
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.438724 | OH | MD | Registered Nurse |
| 0084464 | OH | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1508465600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5312 UNDERWOOD RD",
"city": "RIVERSIDE",
"state": "OH",
"postal_code": "454312853",
"telephone_number": "937-409-9249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5312 UNDERWOOD RD",
"city": "RIVERSIDE",
"state": "OH",
"postal_code": "454312853",
"telephone_number": "937-409-9249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISNER",
"first_name": "REBEKKAH",
"middle_name": "CASI",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "0084464",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.438724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.