| NPI | 1093229379 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2017-11-25 |
| Last Updated | 2017-11-25 |
| Mailing Address | 193 South St Chestnut Hill, MA 02467-3630 United States Phone: (617) 921-0966 📍 View Map |
| Primary Practice Address | 150 S Huntington Ave Boston, MA 02130-4817 United States Phone: (617) 232-9500 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207N00000X – Dermatology | MA | RN2306581 |
| No | 207NS0135X – Dermatology, Procedural Dermatology | MA | RN2306581 |
| Yes | 363L00000X – Nurse Practitioner | MA | RN2306581 |
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About NPI 1093229379
Reava Khristenko NP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1093229379. The primary specialty listed is Nurse Practitioner. The provider is located in Boston, MA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-11-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093229379?
NPI 1093229379 belongs to Reava Khristenko NP, a Nurse Practitioner in Boston, MA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093229379 active?
The current status of NPI 1093229379 in the NPPES registry is Active. The record was last updated on 2017-11-25.
What specialty is NPI 1093229379?
NPI 1093229379 is classified under the taxonomy Nurse Practitioner. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093229379?
You can verify NPI 1093229379 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093229379?
The primary practice address on file for NPI 1093229379 is 150 S Huntington Ave, Boston, MA 02130-4817. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093229379 issued?
NPI 1093229379 was first issued (enumerated) on 2017-11-25. The NPPES record was last updated on 2017-11-25.
Practice Location Map
Reava Khristenko is located at 150 S Huntington Ave, Boston, MA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Reava Khristenko. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1093229379. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology | RN2306581 | MA |
| Dermatology, Procedural Dermatology | RN2306581 | MA |
| Nurse Practitioner | RN2306581 | MA |