Reta L Vining, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

200450030NP ANP PP Issued in OR

Practice address

2440 Hartman Lane
200
Springfield, OR 97877

Phone

(541) 205-1192

NPI assigned

Apr 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Ms. Reta L Vining Former name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Oregon Urology Institute PC

  • Specialist
  • Springfield, OR
  • NPI 1801812078
  Medicare reassignment NPD
• Carebridge Palliative Services Inc.

  • Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
  • Cincinnati, OH
  • NPI 1831423334
  NPD (past)
• Hospice of Southwest Ohio, Inc.

  • Community Based Hospice Care Agency
  • Cincinnati, OH
  • NPI 1043295611
  NPD (past)
• Michael S. Chune DO Inc.

  • Urology Physician
  • Dayton, OH
  • NPI 1538103296

  Adult Health

  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1831152032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 HARTMAN LANE",
            "address_2": "200",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "97877",
            "telephone_number": "541-205-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 HARTMAN LANE",
            "address_2": "200",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "97877",
            "telephone_number": "541-205-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINING",
        "first_name": "RETA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "200450030NP ANP PP",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2011031615",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "60081469",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "08652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0864364",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RETA",
            "last_name": "VINING",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Claire Verner
• Peter Francis Via, PA-C
• Jody J Victoria, OT
• Katherine Nadine Victorson, PT
• Roxie Patrick Victorson, PT
• Jose Viramontes Jr., M.D.
• Vision Care Focus, LLC
• Karen Visser
• Sabrina M Visser, RN
• Duc Minh Vo, M.D.

• Adult Health Nurse Practitioner in Springfield, OR
• Providers in Springfield, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.

Verify at the official NPI Registry.