Individual provider Active NPI

Jennifer R Reed, PA

  • Medical Physician Assistant
  • Dallas, TX
National Provider Identifier
1114157500
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA06269 Issued in TX
Practice address
12222 N Central Expy
Suite 210
Dallas, TX 75243-3755
Phone
(214) 615-1944
Fax
(214) 615-1949
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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 PA06269 TX Primary

Addresses

Primary practice location

12222 N Central Expy
Suite 210
Dallas, TX 75243-3755

Mailing address

12222 N Central Expy
Suite 210
Dallas, TX 75243-3755
Phone (214) 615-1944

Other identifiers 1

IdentifierTypeStateIssuer
PA06269OtherTXSTATE LICENCE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JENNIFER.REED@hca7.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091104000340 TX Practitioner - Physician Assistant 1557409034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hip and Joint Specialists of North Texas PLLCGroup PAC ID 2668635194, 5 clinicians

Practice addresses (Care Compare)

12222 N Central Expy
Suite 210
Dallas, TX 75243-3788
Phone (214) 615-1944

7777 Forest LN
Dallas, TX 75230-2571
Phone (972) 566-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA06269TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Joint Institute, PLLC Past Accepting new patients

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1114157500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 N CENTRAL EXPY",
            "address_2": "SUITE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433755",
            "telephone_number": "214-615-1944",
            "fax_number": "214-615-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 N CENTRAL EXPY",
            "address_2": "SUITE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433755",
            "telephone_number": "214-615-1944",
            "fax_number": "214-615-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE NUMBER",
            "identifier": "PA06269",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JENNIFER.REED@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12222 N Central Expy",
            "address_2": "SUITE 210",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752433755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.