Nicole Christine Reese, RN

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

208501 Issued in WA

Practice address

601 N 39TH St
Yakima, WA 98901-1222

Phone

(509) 952-5564

Fax

(509) 577-0635

NPI assigned

Jun 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Miranda Care Adult Family Home

  • Custodial Care Facility
  • Yakima, WA
  • NPI 1528239753
  NPD (past) Authorized official

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1770744310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 39TH ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011222",
            "telephone_number": "509-952-5564",
            "fax_number": "509-577-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 39TH ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989011222",
            "telephone_number": "509-952-5564",
            "fax_number": "509-577-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "NICOLE",
        "middle_name": "CHRISTINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "WA",
            "license": "RN00142055",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "208501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "881236",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Reed
• David Reeder
• Nicolas Karl Reep, D.D.S.
• Ashley Lynn Reese, SUDP
• Christopher Michael Reese
• Tyler Reese
• Reeses' Adult Family Homes, Inc
• Steven Register, M.D.
• Ruby L Rego
• Anton Reicherter

• Adult Care Home Facility in Yakima, WA
• Providers in Yakima, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.