Organization Active NPI

Galahadd's Quest LLC

Doing business as Reichardt Family Practice

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1720378128
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA10079-NP Issued in OH
Legal business name
GALAHADD'S QUEST LLC
Doing business as
Reichardt Family Practice
Practice address
2440 Baton Rouge
Lima, OH 45805-5104
Phone
(419) 331-2273
Fax
(419) 331-4274
NPI assigned
Apr 19, 2011
Last updated
Aug 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Mr. Jeffrey Alan Reichardt, CNPNPI 1346387123
Title
Owner
Phone
(419) 331-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X COA10079-NP OH Primary

Addresses

Primary practice location

2440 Baton Rouge
Lima, OH 45805-5104

Mailing address

2440 Baton Rouge
Suite 306
Lima, OH 45805-5104
Phone (419) 331-2273

Other names 1

  • Reichardt Family Practice Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1720378128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 BATON ROUGE",
            "address_2": "SUITE 306",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458055104",
            "telephone_number": "419-331-2273",
            "fax_number": "419-331-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 BATON ROUGE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458055104",
            "telephone_number": "419-331-2273",
            "fax_number": "419-331-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALAHADD'S QUEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "REICHARDT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-331-2273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA10079-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reichardt Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.