Robert T Reid Jr., FNP-C, FNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

2023034329 Issued in NC

Practice address

508 Fulton St
Durham, NC 27705-3875

Phone

(919) 286-0411

NPI assigned

Jul 10, 2023

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: robert.reid.2@23284.direct.athenahealth.com

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.

• Proactive MD la a

  dba PMD CF Donaldsonville Health Center

  • Primary Care Clinic/Center
  • Donaldsonville, LA
  • NPI 1235898917
  NPD
• Proactive MD la a

  dba Proactive MD

  • Primary Care Clinic/Center
  • Greenville, SC
  • NPI 1447901392
  NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1083392971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14761 HOLBROOKS RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783620",
            "telephone_number": "864-237-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 FULTON ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053875",
            "telephone_number": "919-286-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "ROBERT",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-C, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "2023034329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlen Reich, LCSW, LCAS
• Angelina Marie Reichert
• Anthony Stephon Reid, LCSW
• Danielle Reid, MSW, LCSW-A
• Kelley Lyn Reid, MSN, NP-C
• Thomas Reid, LCSW
• Michaella Marie Reif, MD
• Haley Megan Reiff
• Colleen Louise Reilly, MSW, LCSW, LCASA
• Rachel M Reilly, M.D.

• Primary Care Nurse Practitioner in Durham, NC
• Providers in Durham, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.