K Stefanie Reis
Registered Nurse, Case Management in Medford, MA. Individual provider (NPI-1).
NPI number1891306239
StatusActive
Last updated in NPPESAug 10, 2020
Details
- NPI
- 1891306239
- Entity type
- Individual (NPI-1)
- Name
- K Stefanie Reis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2020
- Certification date
- Aug 10, 2020
- Last updated
- Aug 10, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0400X | Registered Nurse, Case Management | RN2308625 | MA | Yes |
Practice location
19 Magoun Ave Fl 1Medford, MA 02155-4853
Phone 978-930-1000
Mailing address
19 Magoun Ave Fl 1Medford, MA 02155-4853
Phone 978-930-1000
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