Active NPI
Martha C. Reiser, CNP
- Adult Health Nurse Practitioner
- Elyria, OH
National Provider Identifier
1790808574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN137889 NP-05026
- Practice address
- 630 East River Rd
Elyria, OH 44035 - Phone
- (440) 326-4310
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN137889 NP-05026 | OH | Primary |
| Acute Care Clinical Nurse Specialist | 364SA2100X | RN137889 NS-03045 | OH |
Addresses
Primary practice location
630 East River Rd
Elyria, OH 44035
Mailing address
842 Mildred Ave
Lorain, OH 44052-1214
Phone (440) 246-9484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2402028 | Medicaid | OH |
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN137889 NP-05026 | OH | MD | Adult Health Nurse Practitioner |
| RN137889 NS-03045 | OH | MD | Acute Care Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Russell Berkebile and Associates Inc | Past | Accepting new patients | |
| Community Hospitalist, LLC | Past | Accepting new patients | |
| North Ohio Heart Center Inc | Adult Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Lorain, OH
- NPI 1538236872
-
- Diagnostic Radiology Physician
- Norwalk, OH
- NPI 1750383519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304985600000",
"number": "1790808574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 MILDRED AVE",
"city": "LORAIN",
"state": "OH",
"postal_code": "440521214",
"telephone_number": "440-246-9484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 EAST RIVER RD",
"city": "ELYRIA",
"state": "OH",
"postal_code": "44035",
"telephone_number": "440-326-4310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISER",
"first_name": "MARTHA",
"middle_name": "C.",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2011-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "RN137889 NP-05026",
"primary": true
},
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "OH",
"license": "RN137889 NS-03045",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2402028",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.