Individual provider Active NPI

Shantell Reid, APRN

  • Family Nurse Practitioner
  • Middleburg Heights, OH
National Provider Identifier
1043086242
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035447 Issued in OH
Practice address
7225 Old Oak Blvd Ste 210
Middleburg Heights, OH 44130-3339
Phone
(440) 816-2761
Fax
(440) 816-8065
NPI assigned
Nov 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0035447 OH Primary

Addresses

Primary practice location

7225 Old Oak Blvd Ste 210
Middleburg Heights, OH 44130-3339

Mailing address

2000 Baker Ave
Akron, OH 44312-2245
Phone (330) 962-2106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240529002490 OH Practitioner - Nurse Practitioner 1153763602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7225 Old Oak Blvd
Suite A210
Cleveland, OH 44130-3339
Phone (440) 816-2761

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest General Medical Group Inc CurrentSince Dec 3, 2023 Accepting new patients
Southwest Family Physicians, Inc. Current Accepting new patients
Southwest General Medical Group Inc CurrentSince Mar 30, 2024 Accepting new patients
Southwest General Medical Group Inc. CurrentSince Mar 30, 2024 Accepting new patients
Southwest General Health Center PastSince Dec 3, 2023 Accepting new patients
Southwest General Medical Group, Inc. Past Accepting new patients

Locations

18780 Bagley Rd
Ste 108
Middleburg Heights, OH 44130
Phone (440) 816-2330

7225 Old Oak Blvd
Ste 210
Middleburg Heights, OH 44130
Phone (440) 816-2761

7225 Old Oak Blvd
Ste A210
Middleburg Heights, OH 44130
Phone (440) 816-2761

Interoperability endpoints

  • Direct secure messaging: shantellreidnp@southwestfamilyphysicians.medentdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1043086242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BAKER AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443122245",
            "telephone_number": "330-962-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD STE 210",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303339",
            "telephone_number": "440-816-2761",
            "fax_number": "440-816-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "SHANTELL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.