MRS. REBA JEAN MAHAFFEY (NPI# 1215072715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215072715 |
| Entity Type | Individual |
| Full Name | MRS. REBA JEAN MAHAFFEY |
| Credential | RN MS FNP |
| Practice Address |
123 S Mckinley Ave Rensselaer IN 47978-2949 |
| Practice Telephone | 2198667222 |
| Practice Fax Number | 2198667001 |
| Mailing Telephone | 2198667222 |
| Mailing Fax Number | 2198667001 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2015-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71001207A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE | 473320 | 01 |
| Street Address |
123 S MCKINLEY AVE |
| City | RENSSELAER |
| State | IN |
| Zip Code | 47978-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376642900 | Julian Y Ungar-sargon | Psychiatry & Neurology | 123 S Mckinley Ave, Rensselaer, IN 47978-2949 | 2006-09-21 |
| 1720697451 | Tonya Kay Bonnell | Nurse Practitioner | 123 S Mckinley Ave, Rensselaer, IN 47978-2949 | 2020-07-29 |
| 1265996144 | Neurology and Pain Medical Associates LLC | Pain Medicine | 123 S Mckinley Ave, Rensselaer, IN 47978-2949 | 2019-01-25 |
| 1619361037 | Nicole D. M. Miniuk | Registered Nurse | 123 S Mckinley Ave, Rensselaer, IN 47978-2949 | 2015-03-24 |
| 1134538234 | Sheets Family Practice P.C. Inc. | Family Medicine | 123 S Mckinley Ave, Rensselaer, IN 47978-2949 | 2014-08-04 |
| 1104197326 | Julian Ungar-sargon Md Phd | Pain Medicine | 123 S Mckinley Ave, Rensselaer, IN 47978 | 2012-01-19 |
| 1508992140 | Scott A. Williams | Clinical Nurse Specialist | 123 S Mckinley Ave, Rensselaer, IN 47978-2949 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679710107 | Gordon P. Bausman | Dentist | 210 N. Front St., Rensselaer, IN 47978 | 2009-01-21 |
| 1669534962 | Stuart A Sandler | Family Medicine | 919 Grace Street, Rensselaer, IN 47978 | 2006-12-14 |
| 1225103146 | Jerry Lynn Markley | Chiropractor | 311 Drexel Parkway, Suite # 1, Rensellaer, IN 47978 | 2006-11-24 |
| 1538262225 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 107 N Cullen St, Rensselaer, IN 47978 | 2006-09-07 |
| 1609477793 | Donald Lowell Rusk | Pharmacist | Walmart, 905 S College Ave, Rensselaer, IN 47978 | 2020-11-04 |
| 1235689480 | Jasper County After Hours Urgent Care Inc | Clinic/Center | 716 S College Ave, Rensselaer, IN 47978 | 2016-10-12 |
| 1407230501 | Grainne O' Malley | Internal Medicine | 118 W Drexel Pkwy, Rensselaer, IN 47978 | 2015-07-17 |
| 1972916997 | Joseph Thomas Varnau | Family Medicine | 1104 E Grace St, Rensselaer, IN 47978 | 2014-06-06 |
| 1477812956 | Kirk Jihyon Pak | Internal Medicine | 1104 E Grace St, Rensselaer, IN 47978 | 2012-05-03 |
| 1891029609 | Stephen William Wolfe | Psychiatry & Neurology | 1104 E Grace St, Rensselaer, IN 47978 | 2009-09-25 |
| Find all providers in zip 47978 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194768010 | Wanda Gay Gifford | Nurse Practitioner | 118 W Drexel Pkwy, Rensselaer, IN 47978-7344 | 2006-06-14 |
| 1124021241 | Kristin Marie Cooke | Nurse Practitioner | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2005-05-23 |
| 1720697451 | Tonya Kay Bonnell | Nurse Practitioner | 123 S Mckinley Ave, Rensselaer, IN 47978-2949 | 2020-07-29 |
| 1124589957 | Sharon A Johnson Fnp LLC | Nurse Practitioner | 1103 E Grace St, Rensselaer, IN 47978-3210 | 2019-03-26 |
| 1144746793 | Nina Statile | Nurse Practitioner | 2 Empire Dr Ste 100, Rensselaer, NY 12144-5730 | 2017-08-16 |
| 1437682317 | Aine Pattengale | Nurse Practitioner | 118 W Drexel Pkwy, Rensselaer, IN 47978-7344 | 2017-04-06 |
| 1952754632 | Jennifer Dewolf | Nurse Practitioner | 2 Empire Dr Ste 100, Capital Region Family Health, Rensselaer, NY 12144-5730 | 2016-07-19 |
| 1386049385 | Mandy Beth Black | Nurse Practitioner | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2014-11-03 |
| 1942618582 | Marianne Zimmer | Nurse Practitioner | 295 Valley View Blvd, Rensselaer, NY 12144-9307 | 2014-07-28 |
| 1003220724 | Lindsay Bishop | Nurse Practitioner | 2 Empire Dr, Rensselaer, NY 12144-5730 | 2014-06-20 |
| Find all providers in RENSSELAER | ||||
| City | RENSSELAER |
| Zip Code | 47978 |
Please comment or provide details below to improve the information on MRS. REBA JEAN MAHAFFEY.
| 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.