Jennifer Elseta Reid, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

F340665-1 Issued in NY

Practice address

396 Chestnut Ridge Rd
Rochester, NY 14624-4329

Phone

(585) 889-5582

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jennifer Elseta Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Health Reach Plus

  • Adult Care Home Facility
  • Rochester, NY
  • NPI 1669865671
  NPD (past) Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1104045848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 CHESTNUT RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146244329",
            "telephone_number": "585-889-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 CHESTNUT RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146244329",
            "telephone_number": "585-889-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JENNIFER",
        "middle_name": "ELSETA",
        "name_prefix": "Mrs.",
        "credential": "GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340665-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "THOMPSON",
            "middle_name": "ELSETA",
            "prefix": "DR.",
            "credential": "GNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard C Reichman, MD
• Tiffany Ann Reichman, MS, ATC, NASM-PES
• Devery Danielle Reid-Holmes
• Kelly Reid-Waldock, NP
• Jane Amelia Reid, ANP
• Leigh Ann Reid, PHARMD
• Patrick J. Reid, M.D.
• Robin M Reid, M.D.
• Tyrone Reid
• Timothy Reidlinger, MD

• Gerontology Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.