Individual provider Active NPI

Reyghan Rosendale

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1972231645
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030894 Issued in OH
Practice address
1125 Hospital Dr
Toledo, OH 43614-8001
Phone
(419) 383-6105
Fax
(419) 383-3153
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0030894 OH Primary

Addresses

Primary practice location

1125 Hospital Dr
Toledo, OH 43614-8001

Mailing address

3000 Arlington Ave # Ms 1108
Toledo, OH 43614-2595
Phone (419) 383-6105

Other practice location 1

1927 Glencairn Ave
Toledo, OH 43614-3911
Phone (419) 619-9892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328003741 OH Practitioner - Nurse Practitioner 4789022583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1125 Hospital Dr
Toledo, OH 43614-8001
Phone (419) 383-5288

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians LLC CurrentSince Jul 4, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L4189
Columbus, OH 43260

2100 W Central Ave
Toledo, OH 43606
Phone (567) 420-1600

3000 Arlington Ave
#1108
Toledo, OH 43614
Phone (419) 383-5330

1125 Hospital Dr
Ste 1620
Toledo, OH 43614
Phone (419) 383-6105

1125 Hospital Dr
Toledo, OH 43614
Phone (419) 383-3761

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1972231645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE # MS 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-6105",
            "fax_number": "419-383-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 HOSPITAL DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436148001",
            "telephone_number": "419-383-6105",
            "fax_number": "419-383-3153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1927 Glencairn Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436143911",
            "country_code": "US",
            "telephone_number": "419-619-9892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENDALE",
        "first_name": "REYGHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.