Active NPI
Diana Reinhardt, D.O.
- Pediatrics Physician
- Kingsport, TN
National Provider Identifier
1811188436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DO2189
- Practice address
- 2004 American Way Ste 207
Kingsport, TN 37660-4672 - Phone
- (423) 392-6700
- Fax
- (423) 830-7455
- NPI assigned
- Aug 8, 2007
- Last updated
- Sep 12, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 2331 | WV | |
| Pediatrics Physician | 208000000X | DO2189 | TN | Primary |
Addresses
Primary practice location
2004 American Way Ste 207
Kingsport, TN 37660-4672
Mailing address
2004 American Way Ste 207
Kingsport, TN 37660-4672
Phone (423) 392-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2189 | TN | MD | Optometrist |
| 2189 | GA | MD | Optician |
| 2331 | WV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Pediatrics PLLC | Pediatrics | Current | Accepting new patients |
| Mountain States Health Alliance | Past | Accepting new patients |
Locations
2004 American Way
Ste 207
Kingsport, TN 37660
Phone (423) 247-1362
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Kingsport, TN
- NPI 1447094412
-
dba Indian Path Community Hospital
- General Acute Care Hospital
- Kingsport, TN
- NPI 1992813240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1811188436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 AMERICAN WAY STE 207",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604672",
"telephone_number": "423-392-6700",
"fax_number": "423-830-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 AMERICAN WAY STE 207",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604672",
"telephone_number": "423-392-6700",
"fax_number": "423-830-7455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINHARDT",
"first_name": "DIANA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "2331",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "DO2189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.