Individual provider Active NPI

Rebekah Russ Reinemeyer, CPNP

  • Pediatric Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1922440320
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024170787 Issued in VA
Practice address
5021 Craig Rath Blvd
BLDG 4
Midlothian, VA 23112-6243
Phone
(804) 592-5437
NPI assigned
Jul 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024170787 VA Primary

Addresses

Primary practice location

5021 Craig Rath Blvd
BLDG 4
Midlothian, VA 23112-6243

Mailing address

5021 Craig Rath Blvd
BLDG 4
Midlothian, VA 23112-6243
Phone (804) 592-5437

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)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024170787VAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1922440320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 CRAIG RATH BLVD",
            "address_2": "BLDG 4",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126243",
            "telephone_number": "804-592-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 CRAIG RATH BLVD",
            "address_2": "BLDG 4",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231126243",
            "telephone_number": "804-592-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINEMEYER",
        "first_name": "REBEKAH",
        "middle_name": "RUSS",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024170787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.