Individual provider Active NPI

Jessica Angel Reidy, RN

  • Registered Nurse
  • West Palm Beach, FL
National Provider Identifier
1104532233
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9593438 Issued in FL
Practice address
4631 N Congress Ave Ste 205
West Palm Beach, FL 33407-3209
Phone
(561) 725-0540
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9593438 FL Primary

Addresses

Primary practice location

4631 N Congress Ave Ste 205
West Palm Beach, FL 33407-3209

Mailing address

4631 N Congress Ave Ste 205
West Palm Beach, FL 33407-3209
Phone (561) 725-0540

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)
Enrolled
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Ortho-Spine Associates LLC CurrentSince Jan 29, 2023 Accepting new patients
Joshua S Zager DPM PA PastSince Jan 29, 2023 Accepting new patients

Locations

4631 N Congress Ave
Ste 205
West Palm Beach, FL 33407
Phone (561) 725-0540

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIADCD/Endpoint/IIADCD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1104532233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE STE 205",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073209",
            "telephone_number": "561-725-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE STE 205",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073209",
            "telephone_number": "561-725-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDY",
        "first_name": "JESSICA",
        "middle_name": "ANGEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9593438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.