Active NPI
Susan L Reginelli, LPN
- Licensed Practical Nurse
- Batavia, OH
National Provider Identifier
1972072809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN091187
- Practice address
- 1088 Wasserman Way Ste C
Batavia, OH 45103-1974 - Phone
- (513) 735-8100
- NPI assigned
- Nov 20, 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN091187 | OH | Primary |
Addresses
Primary practice location
1088 Wasserman Way Ste C
Batavia, OH 45103-1974
Mailing address
1923 Sutton Ave Apt 101
Cincinnati, OH 45230-1642
Phone (513) 304-1128
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 |
|---|---|---|---|
| PN091187 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clermont Recovery Center, Inc. | Past | Accepting new patients | |
| Clermont Recovery Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Batavia, OH
- NPI 1043277759
-
- Public Health or Welfare Agency
- Batavia, OH
- NPI 1366458465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1972072809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 SUTTON AVE APT 101",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452301642",
"telephone_number": "513-304-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1088 WASSERMAN WAY STE C",
"city": "BATAVIA",
"state": "OH",
"postal_code": "451031974",
"telephone_number": "513-735-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGINELLI",
"first_name": "SUSAN",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN091187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Batavia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.