Haise Reardon

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AG08210024 Issued in VA

Practice address

208 E Plume St Ste 213
Norfolk, VA 23510-1757

Phone

(757) 359-5521

NPI assigned

Aug 4, 2021

Sex

Female

Sole proprietor

No

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hcare LLCGroup PAC ID 0941668677, 5 clinicians

Legacy Care LLCGroup PAC ID 0042458200, 42 clinicians

Legacy Care Aco LLCGroup PAC ID 3274996426, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health (VA Beach) Home health agency, Virginia Beach, VA, CCN 497644

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hcare LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Norfolk, VA
  • NPI 1942998067
  Medicare reassignment Care Compare group NPD
• Legacy Care Aco LLC

  • Family Medicine Physician
  • Virginia BCH, VA
  • NPI 1538844857
  Medicare reassignment Care Compare group NPD
• Legacy Care LLC

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1902149776
  Medicare reassignment Care Compare group NPD
• Bruce J Kleiman MD PC

  • Internal Medicine Physician
  • Norfolk, VA
  • NPI 1043524333
  Medicare reassignment NPD
• Legacy Healthcare, Inc.

  • Skilled Nursing Facility
  • Virginia Beach, VA
  • NPI 1063792950
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eh Home Health of the Mid Atlantic, LLC

  • Home Health Agency
  • Virginia Beach, VA
  • NPI 1184968026
  Care Compare affiliation

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1851065684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 WESSINGTON DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234546350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E PLUME ST STE 213",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101757",
            "telephone_number": "757-359-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "HAISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "AG08210024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory J. Read Jr., M.D.
• Sierra Joelle Read
• Jennifer Reagan
• Jennifer Swisher Real, M.D.
• Sharon Reams, LCSW
• Rebecca a Thomas, PSYD & Associates, P.C.
• Rebound Inc of VA.
• Michael Alan Rech, CSA
• Kathryn Rechtsteiner, OTR/L
• Reclaim FXN, PLLC

• Primary Care Nurse Practitioner in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Primary Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.