Mark S Reef, MSN, RN, PMHCNS-BC

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

70000144 Issued in IN

Practice address

601 Stadium Mall Dr
West Lafayette, IN 47907-2052

Phone

(765) 464-6995

NPI assigned

Aug 30, 2006

Last updated

Nov 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1962512681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 STADIUM MALL DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072052",
            "telephone_number": "765-464-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STADIUM MALL DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072052",
            "telephone_number": "765-464-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEF",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "MSN, RN, PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28124380",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IN",
            "license": "70000144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Nurse Specialist in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Clinical Nurse Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.