Kelly Previs Reedy, FNP-C, MS, LAT/ATC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP030307 Issued in PA

Practice address

1633 PA-51
Suite 105
Jefferson Hills, PA 15025

Phone

(412) 775-2019

NPI assigned

Aug 13, 2024

Last updated

Aug 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Geskin Medical LLCGroup PAC ID 4981006640, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

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.

• Geskin Medical LLC

  • Cardiovascular Disease Physician
  • Jefferson Hills, PA
  • NPI 1447812607
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1043041890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 BEAGLE DR",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151024002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 PA-51",
            "address_2": "SUITE 105",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "15025",
            "telephone_number": "412-775-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDY",
        "first_name": "KELLY",
        "middle_name": "PREVIS",
        "credential": "FNP-C, MS, LAT/ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher A Radkowski, M.D.
• Riaz Riza Rahman
• Kristi Lynn Rain-Jaras, MD
• Jethalal L Rambhia, M.D.
• Rachel L Raymond, PA-C
• Kerrie Reffert, RN
• Responsive Home Care, LLC
• Shannon Marie Riccobelli
• Rebecca Riemer-Sander
• Victoria L Riley, CRNA

• Family Nurse Practitioner in Jefferson Hills, PA
• Providers in Jefferson Hills, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.