MRS. JODY L REIFENBERGER PA NPI 1386741072

NPI Information

NPI: 1386741072
Provider Name: MRS. JODY L REIFENBERGER, PA
Classification: Clinical Nurse Specialist - 364SF0001X
Entity Type: Individual

Specialization: Family Health

Organization: NORTH COUNTY HEALTH PROJECT, INC.

PECOS Registration: Yes

Address:
150 VALPREDA RD
SAN MARCOS, CA
ZIP 92069
Phone: (760) 736-6700
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MRS. Jody L Reifenberger, PA is a family health clinical nurse specialist in San Marcos, CA with 21 years of experience. MRS. Jody L Reifenberger, PA NPI is 1386741072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 VALPREDA RD
SAN MARCOS, CA
ZIP 92069-973
Phone: (760) 736-6700

The NPI 1386741072 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/17/2006 and was last updated on 2/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		085002183	ILLINOIS	No
2	364SF0001X	Clinical Nurse Specialist	Family Health	22669	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q22953	MEDICARE UPIN
2	085002183	MEDICAID	ILLINOIS
3	K09235	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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