Kimberly Reilly, CRNP

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

R216667 Issued in MD

Practice address

1300 York Rd Ste 300
Lutherville, MD 21093-6019

Phone

(717) 747-6669

NPI assigned

Jan 13, 2023

Last updated

Jan 13, 2023By the provider in NPPES

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• International Neurorehabilitation Institute

  • Neurology Physician
  • Lutherville, MD
  • NPI 1841627726
  Medicare reassignment NPD

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1720792708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BURROWS RD APT 306",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569295",
            "telephone_number": "717-747-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK RD STE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936019",
            "telephone_number": "717-747-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "KIMBERLY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "R216667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Re-Set Lab & Diagnostics LLC
• Re-Set Lab & Diagnostics LLC
• Reddy & Afram LLC
• Jeffery Joseph Redenbaugh, PA-C
• Redesign Organization
• Lauren Danielle Reschke, M.D
• Jose Javier Reyes, PHARMD
• Susan Frances Ricard, PTA
• Ricardo L Rodriguez MD LLC
• Elisabeth G Richard, M.D.

• Neurology Physician in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Neurology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.