Individual provider Active NPI

Gwynedd Morgwyn Reece, CRNP

  • Pediatrics Physician
  • Pasadena, MD
National Provider Identifier
1013080647
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R139139 Issued in MD
Practice address
3100 Mountain Rd Ste 300
Pasadena, MD 21122-2018
Phone
(410) 360-4446
NPI assigned
Nov 15, 2006
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R139139 MD Primary

Addresses

Primary practice location

3100 Mountain Rd Ste 300
Pasadena, MD 21122-2018

Mailing address

3100 Mountain Rd Ste 300
Pasadena, MD 21122-2018
Phone (410) 360-4446

Other identifiers 2

IdentifierTypeStateIssuer
MR0903270OtherMDFEDERAL CONTROLLED SUBSTA
R139139OtherMDNURSE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R139139MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Oak Pediatrics Dr Battiata & Impeduglia PA Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gwynedd.reece.1@6914.direct.athenahealth.com
  • Direct secure messaging: gwynedd.reece.2@6914.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6914/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGJJCA/Endpoint/EGJJCA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1013080647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MOUNTAIN RD STE 300",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211222018",
            "telephone_number": "410-360-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MOUNTAIN RD STE 300",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211222018",
            "telephone_number": "410-360-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REECE",
        "first_name": "GWYNEDD",
        "middle_name": "MORGWYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "R139139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL CONTROLLED SUBSTA",
            "identifier": "MR0903270",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE LICENSE",
            "identifier": "R139139",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.