Active NPIIndividual provider

Ms. Reina M Dastous, CNM

Advanced Practice Midwife in Beverly, Massachusetts

NPI Number1124222880
Practice location
85 Herrick St, Beverly, MA 01915-1790
Fax
978-524-6082
Last updated
February 1, 2018

Reina Marie Dastous is an Advanced Practice Midwife based in Beverly, MA. Reina Marie Dastous practices in Beverly, MA and has the professional credentials of CNM. The NPI Number for Reina Marie Dastous is 1124222880 and holds a License No. 245530 (MA). The current practice location address for Reina Marie Dastous is 85 Herrick St, Beverly, MA 01915-1790 and can be reached out via phone at 978-927-7880 and via fax at 978-524-6082.

Provider Profile Details

NPI Number
1124222880
Provider Name
Reina Marie Dastous
Credential
CNM
Provider Entity Type
Individual
Gender
Female
Address
85 Herrick St, Beverly, MA 01915-1790
Phone Number
978-927-7880
Fax Number
978-524-6082
Primary Taxonomy
Advanced Practice Midwife · 367A00000X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2007
Last Update Date
February 1, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 Herrick St
Beverly, MA 01915-1790
Zip
01915-1790
Phone Number
978-927-7880
Fax Number
978-524-6082
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
Lahey Clinic INC., Provider Enrollment Department
41 Mall Road
Burlington, MA 01805
City
Burlington
State
MA
Zip
01805
Phone Number
781-744-8085
Fax Number
781-744-5433

License Information

License Number
245530
License State
MA
Taxonomy
Advanced Practice Midwife · 367A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Reina M Dastous, CNM?

The NPI number of Ms. Reina M Dastous, CNM is 1124222880. It was assigned on June 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Reina M Dastous, CNM?

Ms. Reina M Dastous, CNM is registered under the primary taxonomy Advanced Practice Midwife (code 367A00000X), licensed in MA under license number 245530.

Where does Ms. Reina M Dastous, CNM practice?

The practice location is 85 Herrick St, Beverly, MA 01915-1790. The office can be reached at 978-927-7880 (phone) or 978-524-6082 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124222880 directly on the NPPES registry website.

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