SIMONE NICOLE REAVES - NPI 1649833203 - Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Simone Reaves's NPI number?

The NPI number for Simone Reaves is 1649833203. It was assigned to this individual provider in the NPPES registry on April 19, 2019.

Q: What is Simone Reaves's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Simone Reaves was last updated on April 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Simone Nicole Reaves NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIMONE NICOLE REAVES (NPI 1649833203) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649833203

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSIMONE NICOLE REAVES

Location Address833 CHESTNUT ST FRNT 1Philadelphia, PA 19107-4420

Mailing Address833 Chestnut St Frnt 1Philadelphia, PA 19107-4420 · (215) 955-1085 · Fax (215) 955-5041

Phone(215) 955-6776

Fax(215) 923-1089

Sole ProprietorNo

Enumeration DateApril 19, 2019

✔ NPI 1649833203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

833 CHESTNUT ST FRNT 1, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simone Nicole Reaves is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.