Individual provider Active NPI

Susan L Reginelli, LPN

  • Licensed Practical Nurse
  • Batavia, OH
National Provider Identifier
1972072809
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN091187 Issued in OH
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

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PN091187OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.