Connie K Reifenberger, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN154687 Issued in OH

Practice address

3000 Mack Rd
Suite 100
Fairfield, OH 45014-5335

Phone

(513) 751-4222

Fax

(513) 751-4353

NPI assigned

Jul 27, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1710987276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MACK RD",
            "address_2": "SUITE 100",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145335",
            "telephone_number": "513-751-4222",
            "fax_number": "513-751-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MACK RD",
            "address_2": "SUITE 100",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145335",
            "telephone_number": "513-751-4222",
            "fax_number": "513-751-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFENBERGER",
        "first_name": "CONNIE",
        "middle_name": "K",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "RN154687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2526298",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78014743",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Renea Reese Pipkin
• Alexis Paige Reese
• Brittany Reeves
• Rehab Advantage, L.L.C.
• Rehab to Wellness
• Cynthia L Reinhart, LPCC
• Res-Care Ohio, Inc.
• Res-Care Ohio, Inc.
• Rescare Ohio, Inc.
• Rescare Ohio, Inc.

• Adult Health Nurse Practitioner in Fairfield, OH
• Providers in Fairfield, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.