Elaine Taylor Reiche

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601002655 Issued in MI

Practice address

2328 Mount Hope Rd
Okemos, MI 48864-2506

Phone

(512) 923-2011

NPI assigned

Oct 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1699147744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 MOUNT HOPE RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642506",
            "telephone_number": "512-923-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 MOUNT HOPE RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642506",
            "telephone_number": "512-923-2011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Beard Eaves Memorial Collisuem",
            "address_2": "USA Team Handball",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "36832",
            "country_code": "US",
            "telephone_number": "512-923-2011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9040 Carothers Pkwy Ste A205",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "37067",
            "country_code": "US",
            "telephone_number": "615-224-9590",
            "fax_number": "615-224-9588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6278 S Troy Cir",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801116422",
            "country_code": "US",
            "telephone_number": "720-415-9521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICHE",
        "first_name": "ELAINE",
        "middle_name": "TAYLOR",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "0002068",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "2408",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "1868",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601002655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Okemos, MI
• Providers in Okemos, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.