Reena Nutakki, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R046968 Issued in ME

Practice address

1 VA Ctr
Augusta, ME 04330-6795

Phone

(207) 623-8411

Fax

(207) 621-7316

NPI assigned

Aug 26, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Eastern Maine Healthcare Systems Inland Hospital

  • Family Medicine Physician
  • North Anson, ME
  • NPI 1366575326
  NPD (past)
• Family Medicine Associates of Waterville PA

  • Family Medicine Physician
  • Waterville, ME
  • NPI 1508841941
  NPD (past)

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1780831230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WASHINGTON ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014315",
            "telephone_number": "207-877-7100",
            "fax_number": "807-872-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VA CTR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306795",
            "telephone_number": "207-623-8411",
            "fax_number": "207-621-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTAKKI",
        "first_name": "REENA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R046968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R046968",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Novitskie, MD
• Susan Noyes, OT
• NR Maine, LLC
• Gabrielle Nugent
• Nita Nuhaj, PHARM D
• Sean Elliott Nutter, PHARM D.
• Erik Wesley O'Connell, D.O.
• Giuliana O'Connell, ST
• Aimee DC O'Connor, LCSW
• Occupational Health Centers of the Southwest, P.a.

• Family Nurse Practitioner in Augusta, ME
• Providers in Augusta, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.