Active NPI
Rita M. Reilly, RN
- Psychiatric/Mental Health Registered Nurse
- Gardner, MA
National Provider Identifier
1881704260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 102828
- Practice address
- 10 Parker St
Gardner, MA 01440-3866 - Phone
- (978) 630-4740
- Fax
- (978) 630-4765
- NPI assigned
- Aug 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 102828 | MA | Primary |
Addresses
Primary practice location
10 Parker St
Gardner, MA 01440-3866
Mailing address
10 Parker St
Gardner, MA 01440-3866
Phone (978) 630-4740
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102828 | MA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1881704260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PARKER ST",
"city": "GARDNER",
"state": "MA",
"postal_code": "014403866",
"telephone_number": "978-630-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PARKER ST",
"city": "GARDNER",
"state": "MA",
"postal_code": "014403866",
"telephone_number": "978-630-4740",
"fax_number": "978-630-4765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "RITA",
"middle_name": "M.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MA",
"license": "102828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardner, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.