Active NPI
John Reid
- Driver
- Jacksonville, FL
National Provider Identifier
1043781495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- R300478613700
- Practice address
- 9439 San Jose Blvd Apt 76
Jacksonville, FL 32257-5523 - Phone
- (904) 426-2833
- NPI assigned
- Dec 11, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | R300478613700 | FL | Primary |
Addresses
Primary practice location
9439 San Jose Blvd Apt 76
Jacksonville, FL 32257-5523
Mailing address
9439 San Jose Blvd Apt 76
Jacksonville, FL 32257-5523
Phone (904) 426-2833
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R300478613700 | FL | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reid Transportation, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Jacksonville, FL
- NPI 1255802518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1043781495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9439 SAN JOSE BLVD APT 76",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322575523",
"telephone_number": "904-426-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9439 SAN JOSE BLVD APT 76",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322575523",
"telephone_number": "904-426-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-11",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "FL",
"license": "R300478613700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.