Active NPI
Katherine E Flannery Reeves, ARNP
- Acute Care Nurse Practitioner
- Tamarac, FL
National Provider Identifier
1023201902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 11003295
- Practice address
- 5870 Hiatus Rd
Tamarac, FL 33321-6424 - Phone
- (800) 424-3672
- Fax
- (954) 377-3042
- NPI assigned
- Aug 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3005212 | KY | |
| Acute Care Nurse Practitioner | 363LA2100X | 2007001906 | OH | |
| Acute Care Nurse Practitioner | 363LA2100X | 11003295 | FL | Primary |
Addresses
Primary practice location
5870 Hiatus Rd
Tamarac, FL 33321-6424
Mailing address
309 Manatee LN
Tarpon Springs, FL 34689-3662
Phone (513) 265-7833
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11003295 | FL | MD | Acute Care Nurse Practitioner |
| 2007001906 | OH | MD | Acute Care Nurse Practitioner |
| 3005212 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Kentucky Heart PSC | Past | Accepting new patients | |
| Laser Spine Institute, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Tampa, FL
- NPI 1265483895
-
- Cardiovascular Disease Physician
- Crestview Hills, KY
- NPI 1700879491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1023201902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 MANATEE LN",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346893662",
"telephone_number": "513-265-7833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5870 HIATUS RD",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333216424",
"telephone_number": "800-424-3672",
"fax_number": "954-377-3042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANNERY REEVES",
"first_name": "KATHERINE",
"middle_name": "E",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3005212",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "2007001906",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "11003295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.