Theresa Virginia Reel
Individual provider Active NPI Nurse Practitioner · Davis, WV
NPI 1629666235 · NPPES record last updated Dec 15, 2021
Key facts
- NPI
- 1629666235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 107754 (WV)
- Practice address
- 13682 Appalachian Hwy
Davis, WV 26260-8299 - Phone
- (304) 259-7828
- Fax
- (304) 259-5703
- NPI assigned
- Jan 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Healthcare LLC | Current |
Accepting new patients | |
| Health Facilities Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 107754 | WV | Yes |
Addresses
Primary practice location
13682 Appalachian Hwy
Davis, WV 26260-8299
Mailing address
371 William Avenue
Davis, WV 26260
Other practice location 1
5 Tyson Ct
Petersburg, WV 26847-1712
Phone (304) 851-7793
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | treel305926@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Other providers in Davis, WV
- Dana Adrienne Nugent
- Betsy Outland
- Jacey Parsons
- Stephanie Poling
- Jennifer E Randall
- Hilda Rexrode
- Mary Kate Riffle
- Rachel Shrader
- Autumn Shreve
- Elizabeth Simons
All providers in Davis, WV · Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.