Active NPI
Jenny A Reiber, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 213365
- Practice address
- 8800 N Tryon St
Charlotte, NC 28262-3300 - Phone
- (704) 863-5665
- NPI assigned
- Sep 21, 2005
- Last updated
- Sep 23, 2016
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 213365 | NC | Primary |
Addresses
Primary practice location
8800 N Tryon St
Charlotte, NC 28262-3300
Mailing address
PO Box 560727
Anesthesia Department
Charlotte, NC 28256-0727
Phone (704) 863-5665
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NAN808 | Medicaid | SC | |
| 8053041 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213365 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Western Carolina Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Gateway Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Charlotte Mecklenburg Hospital Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| Carolinas Medical Center - University | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
1025 NE Gateway Ct NE
Concord, NC 28025
Phone (704) 920-7020
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
415 N Center St
Ste 300
Hickory, NC 28601
Phone (828) 328-3300
420 N Center St
Hickory, NC 28601
Phone (704) 660-4055
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1982690392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 560727",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282560727",
"telephone_number": "704-863-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8800 N TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623300",
"telephone_number": "704-863-5665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIBER",
"first_name": "JENNY",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-21",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "213365",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN808",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8053041",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.