Olivia Reichenbacker, PMNHP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024174525 Issued in VA

Practice address

2624 Southern Blvd Ste 102
Virginia Beach, VA 23452-7433

Phone

(757) 453-1256

Fax

(319) 359-3813

NPI assigned

Feb 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olivia.reichenbacker@bps-ia.direct.office.nextgen.com

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.

• Brookside Psychiatric Specialists PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1841930328
  NPD Authorized official
• Old Towne Counseling Services, LLC

  • Mental Health Counselor
  • Mechanicsville, VA
  • NPI 1487855003
  NPD (past)
• Partners in Women'S Mental Health

  • Psychiatry Physician
  • Norfolk, VA
  • NPI 1790347110
  NPD (past)

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1831637990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 W 21ST ST # 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171539",
            "telephone_number": "757-828-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 SOUTHERN BLVD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527433",
            "telephone_number": "757-453-1256",
            "fax_number": "319-359-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHENBACKER",
        "first_name": "OLIVIA",
        "credential": "PMNHP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024174525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehabilitation Associates
• Rehabilitation Associates
• Rehabilitation Associates Inc
• Paul Terrence Rehak, RN
• Allison Gardner Rei, PT
• Nicole B Reichhart, PA
• John Mark Reichley, DMD
• Ayanna Reid
• Brionna Reid
• Hailey A Reid, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.