Active NPI
Cynthia Clair Reese
- Nursing Home Administrator
- Det, MI
National Provider Identifier
1922516384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- AS820388036
- Practice address
- 22625 Glendale
Det, MI 48223 - Phone
- (313) 472-5453
- NPI assigned
- Jan 18, 2018
- 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 |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | AS820388036 | MI | Primary |
Addresses
Primary practice location
22625 Glendale
Det, MI 48223
Mailing address
16176 Ashton
Det., MI 48219
Phone (313) 663-0615
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS820388036 | MI | MD | Nursing Home Administrator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922516384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16176 ASHTON",
"city": "DET.",
"state": "MI",
"postal_code": "48219",
"telephone_number": "313-663-0615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22625 GLENDALE",
"city": "DET",
"state": "MI",
"postal_code": "48223",
"telephone_number": "313-472-5453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "CYNTHIA",
"middle_name": "CLAIR",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "MI",
"license": "AS820388036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.