Mary Dorothy Reid, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

367041-1 Issued in NY

Practice address

14 Ford St
Baldwinsville, NY 13027-2360

Phone

(315) 638-6123

Fax

(315) 638-6170

NPI assigned

Jun 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1013238633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FORD ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272360",
            "telephone_number": "315-638-6123",
            "fax_number": "315-638-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FORD ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272360",
            "telephone_number": "315-638-6123",
            "fax_number": "315-638-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "MARY",
        "middle_name": "DOROTHY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "367041-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Nicole Ranalli, PHARM, D.
• Matthew Rausch, DMD
• Timothy Ryan Redmond, PHARMD
• Marsha Reedy, RN
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• Kristie Santore Relyea, OTR/L
• Richard C. Malara, OD PC
• Rachel Marie Rifanburg, LMT
• Arianna Joyce Rivenburgh
• Riverside Dental Studio, PC

• School Registered Nurse in Baldwinsville, NY
• Providers in Baldwinsville, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.