Eleanore Reiss, APRN, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN070451 NP Issued in GA

Practice address

4153 Lawrenceville Hwy NW
Suite 5
Lilburn, GA 30047-2854

Phone

(770) 935-8616

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659395796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 SILVER HILL CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872411",
            "telephone_number": "770-879-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 LAWRENCEVILLE HWY NW",
            "address_2": "SUITE 5",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472854",
            "telephone_number": "770-935-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISS",
        "first_name": "ELEANORE",
        "name_prefix": "Ms.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN070451 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Readable LLC
• Liyah Reese
• Kevin Reid
• Wayne Dale Reid III
• Betty Cein Reilly-Barrett, PTA
• Restored Health & Wellness
• Restored Health Inc.
• Keith E. Reynolds, D.M.D.
• Jon Marc Rhoades, DDS
• Lacey Mignon Rhodes

• Family Nurse Practitioner in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.