Individual provider Active NPI

Michelle Gardner Reasner, RN

  • Registered Nurse
  • Lompoc, CA
National Provider Identifier
1790098127
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
558140 Issued in CA
Practice address
401 E Cypress Ave
Lompoc, CA 93436-6806
Phone
(805) 865-1940
Fax
(805) 865-1954
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 558140 CA Primary

Addresses

Primary practice location

401 E Cypress Ave
Lompoc, CA 93436-6806

Mailing address

401 E. Cypress Ave
Lompoc, CA 93436-4519
Phone (805) 865-1940

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
558140CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1790098127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E. CYPRESS AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934364519",
            "telephone_number": "805-865-1940",
            "fax_number": "805-865-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CYPRESS AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366806",
            "telephone_number": "805-865-1940",
            "fax_number": "805-865-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REASNER",
        "first_name": "MICHELLE",
        "middle_name": "GARDNER",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "558140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.