Lisa Renee Reinecke-Hristov, CNP, DC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CNP-03567 Issued in NM

Practice address

400 E College Blvd Ste E
Roswell, NM 88201-7570

Phone

(575) 623-3155

NPI assigned

Dec 13, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Reinecke Medical and Chiropractic Center

  • Family Nurse Practitioner
  • Roswell, NM
  • NPI 1992291850
  Medicare reassignment NPD
• Liberty Chiropractic LLC

  • Chiropractor
  • Roswell, NM
  • NPI 1548375363
  NPD (past)

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1609179761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E COLLEGE BLVD STE E",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882017570",
            "telephone_number": "575-623-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E COLLEGE BLVD STE E",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882017570",
            "telephone_number": "575-623-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINECKE-HRISTOV",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "CNP, DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1051",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP-03567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea L Regalado
• Veronica Regalado
• Regional Imaging Enm LLC
• Reinecke Chiropractic LLC
• Reinecke Medical and Chiropractic Center
• Renew Health LLC
• Renew Physical Therapy PC
• Saige Renteria
• Araceli Reyes
• Neira Stephanie Reyes

• Nurse Practitioner in Roswell, NM
• Providers in Roswell, NM by specialty
• Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.

Verify at the official NPI Registry.