Active NPI
Reyna Marie Rodriguez Gillenwater
- Social Worker
- Newton, KS
National Provider Identifier
1992546899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 13632-T
- Practice address
- 500 N Main St
Newton, KS 67114-2200 - Phone
- (316) 202-4414
- NPI assigned
- Jun 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 13632-T | KS | Primary |
Addresses
Primary practice location
500 N Main St
Newton, KS 67114-2200
Mailing address
211 W 9TH St
Newton, KS 67114-1709
Phone (210) 275-3849
Other practice location 1
211 W 9th St
Newton, KS 67114-1709
Phone (210) 275-3849
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 |
|---|---|---|---|
| 13632-T | KS | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1992546899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 W 9TH ST",
"city": "NEWTON",
"state": "KS",
"postal_code": "671141709",
"telephone_number": "210-275-3849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N MAIN ST",
"city": "NEWTON",
"state": "KS",
"postal_code": "671142200",
"telephone_number": "316-202-4414"
}
],
"practiceLocations": [
{
"address_1": "211 W 9th St",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "KS",
"postal_code": "671141709",
"country_code": "US",
"telephone_number": "210-275-3849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ GILLENWATER",
"first_name": "REYNA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "13632-T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.