Active NPI
Jackie Reeves, PHLEBOTOMIST,
- Prosthetic/Orthotic Supplier
- Montgomery, AL
National Provider Identifier
1083367908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Practice address
- 4171 Lomac Street Suite F #115
Montgomery, AL 36106-1008 - Phone
- (334) 413-3555
- NPI assigned
- Jan 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
4171 Lomac Street Suite F #115
Montgomery, AL 36106-1008
Mailing address
4171 Lomac Street Suite F #115
Montgomery, AL 36106-1008
Phone (334) 413-3555
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1083367908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4171 LOMAC STREET SUITE F #115",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061008",
"telephone_number": "334-413-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4171 LOMAC STREET SUITE F #115",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061008",
"telephone_number": "334-413-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "JACKIE",
"credential": "PHLEBOTOMIST,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-31",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.