Individual provider Active NPI

Robert Gene Reiber

  • Gerontology Nurse Practitioner
  • Kailua, HI
National Provider Identifier
1962273227
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN-4246-0 Issued in HI
Practice address
1395 Aupula PL
Kailua, HI 96734-4159
Phone
(808) 375-0508
NPI assigned
Jan 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN-4246-0 HI Primary

Addresses

Primary practice location

1395 Aupula PL
Kailua, HI 96734-4159

Mailing address

1395 Aupula PL
Kailua, HI 96734-4159
Phone (808) 375-0508

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

LicenseStateTypeSpecialty
APRN-4246-0HIMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1962273227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 AUPULA PL",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344159",
            "telephone_number": "808-375-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 AUPULA PL",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344159",
            "telephone_number": "808-375-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIBER",
        "first_name": "ROBERT",
        "middle_name": "GENE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "HI",
            "license": "APRN-4246-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.