Rebekkah Casi Reisner, RN
Individual provider Active NPI Registered Nurse · Riverside, OH
NPI 1508465600 · NPPES record last updated Oct 20, 2020
Key facts
- NPI
- 1508465600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN.438724 (OH)
- Practice address
- 5312 Underwood Rd
Riverside, OH 45431-2853 - Phone
- (937) 409-9249
- NPI assigned
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.438724 | OH | MD | Registered Nurse |
| 0084464 | OH | MD | Home Health Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0084464 | OH | |
| Registered Nurse | 163W00000X | RN.438724 | OH | Yes |
Addresses
Primary practice location
5312 Underwood Rd
Riverside, OH 45431-2853
Mailing address
5312 Underwood Rd
Riverside, OH 45431-2853
Phone (937) 409-9249
Other providers in Riverside, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.