1245421726 NPI number — KARLA ANNETTE REINHART DNP, FNP-C, ARNP

Table of content: KARLA ANNETTE REINHART DNP, FNP-C, ARNP (NPI 1245421726)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245421726 NPI number — KARLA ANNETTE REINHART DNP, FNP-C, ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REINHART
Provider First Name:
KARLA
Provider Middle Name:
ANNETTE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DNP, FNP-C, ARNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245421726
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/26/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1600 DELTA WATERS RD STE 105
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MEDFORD
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97504-9114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-690-1525
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
205 N PHOENIX RD STE 325
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97535-9108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-690-1525
Provider Business Practice Location Address Fax Number:
541-690-1527
Provider Enumeration Date:
08/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  200750100NP , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LF0000X , with the licence number: AP60042699 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7901325 . This is a "DSHS FAMILY PLANNING" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 381852 . This is a "MEDICARE FQHC" identifier , issued by the state of ( OR ) . This identifiers is of the category "OTHER".
  • Identifier: 7105430 . This is a "DSHS RURAL HEALTH" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 227698 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com