Irina Serebryakova-Reino, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

078790-23 Issued in NH

Practice address

149 Epping Rd
Exeter, NH 03833-4522

Phone

(603) 309-2030

Fax

(833) 371-1471

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Obstetrical-Gynecological Associates of the Southern Tier, P.C.

  • Obstetrics & Gynecology Physician
  • Endicott, NY
  • NPI 1760433361
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1770658395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 EPPING RD",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334522",
            "telephone_number": "603-309-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 EPPING RD",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334522",
            "telephone_number": "603-309-2030",
            "fax_number": "833-371-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEREBRYAKOVA-REINO",
        "first_name": "IRINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2289350",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "078790-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seacoast Pathology Inc
• Seacoast Pathology, Inc.
• Seacoast Youth Services
• Jim Lee Seah, PT
• Seaholly Counseling and Wellness PLLC
• Ana Caroline Alcantara Serrao, DMD
• Stephen A Sewall, D.D.S.
• Peter Garfield Shactman, PA-C
• Julie Shaheen, DPM
• Mohmedshad Shaikh, PHARMD

• Family Nurse Practitioner in Exeter, NH
• Providers in Exeter, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.