Individual provider Active NPI

Dana Lynn Carly Reeher

  • Family Nurse Practitioner
  • Boardman, OH
National Provider Identifier
1770800229
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP13105 Issued in OH
Practice address
6505 Market St
Boardman, OH 44512-3457
Phone
(330) 543-3276
NPI assigned
Apr 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP13105 OH Primary
Nurse Practitioner 363L00000X SP010791 PA

Addresses

Primary practice location

6505 Market St
Boardman, OH 44512-3457

Mailing address

6505 Market St
Boardman, OH 44512-3457
Phone (330) 543-3276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP010791PAMDNurse Practitioner
CNP13105OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Id Consultants of Northeast Ohio, Inc CurrentSince Jan 20, 2023 Accepting new patients
Primary Health Network PastSince Mar 22, 2023 Accepting new patients

Locations

3609 Park East Dr
Ste 207
Cleveland, OH 44122
Phone (216) 360-9480

150 Springside Dr
Ste 235B
Fairlawn, OH 44333
Phone (216) 360-9480

2211 Crocker Rd
Ste 170
Westlake, OH 44145
Phone (216) 360-9480

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1770800229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445123457",
            "telephone_number": "330-543-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445123457",
            "telephone_number": "330-543-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEHER",
        "first_name": "DANA",
        "middle_name": "LYNN CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP13105",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.