DENISE MCKENNA REISNER


Address: 900 W Faris Rd Fl 2, Greenville, SC 29605-4255
Phone: 8644558898

DENISE MCKENNA REISNER (NPI# 1245332865) 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) 1245332865
Entity Type Individual
Full Name DENISE MCKENNA REISNER
Other Name MISS DENISE E. MCKENNA
Credential CPNP
Practice Address 900 W Faris Rd Fl 2
Greenville
SC 29605-4255
Mailing Address 1 Independence Pt
Ste 212
Greenville
SC 29615-4536
Practice Telephone 8644558898
Practice Fax Number 8642419237
Enumeration Date 2006-09-03
Last Update Date 2018-03-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 2071 SC Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
2071 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC APPROVED 05

Office Location

Street Address 900 W FARIS RD FL 2
City GREENVILLE
State SC
Zip Code 29605-4255

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568415917 William Frederick Schmidt IIi Pediatrics 900 W Faris Rd Fl 2, Greenville, SC 29605-4255 2006-05-18
1164946562 Cortney V Rieck Psychologist 900 W Faris Rd Fl 2, Greenville, SC 29605-4255 2017-07-28
1366736019 Stephen Craig Martin Pediatrics 900 W Faris Rd Fl 2, Greenville, SC 29605-4255 2011-05-30
1871749176 Aniket Saha Pediatrics 900 W Faris Rd Fl 2, Greenville, SC 29605-4255 2008-08-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205306099 Prisma Health University Medical Group Family Medicine 110 Osage Drive, Greenville, SC 29605 2018-12-05
1306325626 Lauren Foster Fiscus Occupational Therapist 1900 Augusta Street, Suite 2500, Greenville, SC 29605 2018-08-08
1063914372 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 1720 Augusta St, Greenville, SC 29605 2018-03-02
1144748385 Johanna Ruth Henry Speech-Language Pathologist 1900 Augusta St., Suite 2500, Greenville, SC 29605 2017-09-08
1477083483 Alexis Dean Pedigo Speech-Language Pathologist 1900 Augusta St, Suite 2500, Greenville, SC 29605 2017-06-13
1134658420 Trace Christopher Deighan Obstetrics & Gynecology 890 West Faris Road, Suite 470, Greenville, SC 29605 2017-06-08
1023569837 Blessed With Goodness, LLC In Home Supportive Care 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 2016-10-17
1972050953 Suha Umina Pharmacist 975 W. Faris Road, Greenville, SC 29605 2016-09-07
1124470976 Meredith Laine Cavagrotti Specialist/Technologist 700 Grove Rd, Greenville, SC 29605 2016-07-05
1205286895 Med-trans Corporation Ambulance 552 Perimeter Rd, Greenville, SC 29605 2016-06-15
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982251138 Chelsea Neaoma Lyday Nurse Practitioner 3005 Joe Ramsey Blvd E, Greenville, TX 75401-7714 2019-08-22
1275704645 Ashley Ledford Fuller Nurse Practitioner 3980 Highway 100, Greenville, GA 30222-2109 2008-03-13
1831371871 Dana L Silverman Nurse Practitioner 45 Stonewold Way, Greenville, DE 19807-2566 2007-12-01
1750369195 Pamela Larsen Nurse Practitioner Pediatric Outpatient Center, 600 Moye Blvd, Greenville, NC 27858 2006-01-05
1114578259 Jessica Heckart Hardison Nurse Practitioner 118 Oakmont Dr, Greenville, NC 27858-5936 2019-09-20
1295380046 Kathryn A Campbell Nurse Practitioner 525 Verdae Blvd Ste 200, Greenville, SC 29607-4021 2019-08-08
1144875501 Amanda Parker Mitchell Nurse Practitioner 913 E Arlington Blvd, Greenville, NC 27858-5864 2019-08-02
1275004491 Rebecca Bowman Nurse Practitioner 300 Bethesda Dr, Greenville, NC 27834-7218 2018-12-16
1053806877 Claudina Denisse Castillo Nurse Practitioner 200 Patewood Dr Ste A330, Greenville, SC 29615 2018-06-25
1952800682 Arlene Merle Nurse Practitioner 2150 Herbert Ct, Greenville, NC 27834-3736 2018-02-08
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Competitor

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City GREENVILLE
Zip Code 29605

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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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