Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Reava Khristenko, NP

Individual provider Dermatology Physician · NPI 1093229379

Reava Khristenko, NP is a Nurse Practitioner in Boston, Massachusetts. Qualified in 2017, 9 years ago. Practices with Nesc Macipa LLC, a 3-clinician group and offers telehealth. Licensed in Massachusetts.

Years since qualifying
9
Licensed in
MA
In the registry since
2017
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

150 S Huntington Ave
Boston, MA 02130-4817
Phone: (617) 232-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2306581 (MA)
Dermatology Physician Taxonomy 207N00000X · Licence RN2306581 (MA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence RN2306581 (MA)

Record details

NPI number1093229379
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedNovember 25, 2017
Last updated in NPPESNovember 25, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Nesc Macipa Llc — 3 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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