Active NPI
Karen Reilley, CPNP
- Pediatric Nurse Practitioner
- New Haven, CT
National Provider Identifier
1679902688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 6115
- Practice address
- 1 Park St
New Haven, CT 06504-8901 - Phone
- (203) 688-4242
- Fax
- (203) 688-4516
- NPI assigned
- Nov 11, 2013
- Last updated
- May 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 6115 | CT | Primary |
Addresses
Primary practice location
1 Park St
New Haven, CT 06504-8901
Mailing address
330 Cedar St
PO Box 208064
New Haven, CT 06510-3218
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
Interoperability endpoints
- kreilley343156@direct.ynhh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463702400000",
"number": "1679902688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 CEDAR ST",
"address_2": "PO BOX 208064",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065048901",
"telephone_number": "203-688-4242",
"fax_number": "203-688-4516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLEY",
"first_name": "KAREN",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-11",
"last_updated": "2016-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "6115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.