Adrianne Reeves, CNA
Individual provider Active NPI Nurse's Aide · Gay, GA
NPI 1043035702 · NPPES record last updated Nov 18, 2024
Key facts
- NPI
- 1043035702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 75 Parks LN
Gay, GA 30218-1426 - Phone
- (706) 977-4907
- NPI assigned
- Nov 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Yes |
Addresses
Primary practice location
75 Parks LN
Gay, GA 30218-1426
Mailing address
75 Parks LN
Gay, GA 30218-1426
Phone (706) 977-4907
NPI Registry JSON
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1043035702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 PARKS LN",
"city": "GAY",
"state": "GA",
"postal_code": "302181426",
"telephone_number": "706-977-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 PARKS LN",
"city": "GAY",
"state": "GA",
"postal_code": "302181426",
"telephone_number": "706-977-4907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "ADRIANNE",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gay, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.