Active NPI
Rose Mary Nolan Reist
- Family Nurse Practitioner
- Portsmouth, VA
National Provider Identifier
1942270525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024092174
- Practice address
- 620 John Paul Jones Cir
Naval Medical Center
Portsmouth, VA 23708-2197 - Phone
- (757) 953-2297
- NPI assigned
- Jan 25, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024092174 | VA | Primary |
Addresses
Primary practice location
620 John Paul Jones Cir
Naval Medical Center
Portsmouth, VA 23708-2197
Mailing address
826 Waterfall Way
Chesapeake, VA 23322-9602
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130612000067 | VA | Order and Referring Only - Nurse Practitioner | 7315186947 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1942270525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 WATERFALL WAY",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233229602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"address_2": "NAVAL MEDICAL CENTER",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082197",
"telephone_number": "757-953-2297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIST",
"first_name": "ROSE MARY",
"middle_name": "NOLAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024092174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.