Individual provider Active NPI

Janet Reed

  • Medical Physician Assistant
  • Conway, AR
National Provider Identifier
1093948796
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
P-T0910 Issued in AR
Practice address
3650 College Ave
Conway, AR 72034-7272
Phone
(501) 327-6900
Fax
(501) 327-3690
NPI assigned
Aug 27, 2009
Last updated
Aug 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X P-T0910 AR Primary

Addresses

Primary practice location

3650 College Ave
Conway, AR 72034-7272

Mailing address

3650 College Ave
Conway, AR 72034-7272
Phone (501) 327-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20160111000144 AR Order and Referring Only - Physician Assistant 5597804179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
P-T0910ARMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
B. Brooks Lawrence, M.D., P.a. PastSince Jul 12, 2010 Accepting new patients
Conway Family Medical Care PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lawrencefamilymedicine.janetreed@143068.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1093948796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347272",
            "telephone_number": "501-327-6900",
            "fax_number": "501-327-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347272",
            "telephone_number": "501-327-6900",
            "fax_number": "501-327-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JANET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "P-T0910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.