Christine Reisdorph, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

29023A Issued in SC

Practice address

208 E 2ND North St
Summerville, SC 29483-2157

Phone

(843) 794-6946

NPI assigned

Jul 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Magnolia Mental Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Summerville, SC
  • NPI 1134940174
  NPD Authorized official
• Myrtle Beach Counseling Center

  • Mental Health Counselor
  • Myrtle Beach, SC
  • NPI 1235784661
  NPD (past)

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1982126900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 S POINTE CIR STE 208",
            "city": "LAUGHLIN",
            "state": "NV",
            "postal_code": "890290423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E 2ND NORTH ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294832157",
            "telephone_number": "843-794-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISDORPH",
        "first_name": "CHRISTINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "29023A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Registered Portable Monitoring LLC
• Rehabcare Group East, Inc.
• Rehabilitation Centers of Charleston
• Emily Elizabeth Rein
• Reinvent Counseling Services
• Reliable Medical Equipment of Summerville, LLC
• Reliable Medical Equipment, LLC
• Reliant Integrated Services, LLC
• Ryan Crosbie Relyea, DO
• Renewal Rehabilitation Center, LLC

• Psychiatric/Mental Health Nurse Practitioner in Summerville, SC
• Providers in Summerville, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.