RACHEL MONICA REIS


Address: 255 S 17th St Ste 2304, Philadelphia, PA 19103-6223
Phone: 2676395901

RACHEL MONICA REIS (NPI# 1912427527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912427527
Entity Type Individual
Full Name RACHEL MONICA REIS
Credential RN, CRNP
Practice Address 255 S 17th St Ste 2304
Philadelphia
PA 19103-6223
Mailing Address 1417 S Leithgow Ter
Philadelphia
PA 19147-5934
Practice Telephone 2676395901
Enumeration Date 2017-06-24
Last Update Date 2018-03-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
RN614526 PA Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
SP018400 PA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
800 Spruce St, Philadelphia, PA 191076130 2158295120

Office Location

Street Address 255 S 17TH ST STE 2304
City PHILADELPHIA
State PA
Zip Code 19103-6223

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1326578907 Danielle D Bercovitch Speech-Language Pathologist 1930 S Broad, Philadelphia, PA 19103 2017-06-15
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1972966026 Alexandra Brady Jatzke Dietitian, Registered 1835 Market St Fl 2, Philadelphia, PA 19103 2016-04-05
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770199341 Nicole Kassandra Carissimi Nurse Practitioner 1618 S 19th St, Philadelphia, PA 19145-1439 2020-09-19
1770192775 Lisa Ghiloni Nurse Practitioner 6809 N 10th St, Philadelphia, PA 19126-2906 2020-07-26
1104440940 Patricia Cecilia Castillo Nurse Practitioner 49204 Delaire Landing Rd, Philadelphia, PA 19114-5329 2020-06-06
1184271074 Clement John Nurse Practitioner 3253 N 6th St, Philadelphia, PA 19140-5644 2019-08-25
1558915967 Latoya Mohammed Nurse Practitioner 3300 Henry Ave Ste 3n, Philadelphia, PA 19129-1141 2019-07-25
1225427867 Alison Ercole Nurse Practitioner 4301 Spruce St, Apt A 414, Philadelphia, PA 19104-4760 2015-01-20
1790195386 Thomasean Britten Nurse Practitioner 449 Parker Ave, Philadelphia, PA 19128-4403 2014-05-05
1891048377 Elizabeth Ann Milburn Nurse Practitioner 1528 Walnut St Ste 1414, Philadelphia, PA 19102-3610 2012-10-20
1336410851 Justin Egoville Nurse Practitioner 80001 State Rd., Mhm Correctional Services, Mod II, Philadelphia, PA 19136-0000 2012-01-13
1396050720 Dwayne M Toomer Nurse Practitioner 718 Addison St Apt E, Philadelphia, PA 19147-1353 2010-08-10
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Competitor

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City PHILADELPHIA
Zip Code 19103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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