Active NPI
Karla J. Reeves, CNP
- Family Nurse Practitioner
- Centerville, OH
National Provider Identifier
1114598174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0029233
- Practice address
- 2350 Miami Valley Dr Ste 500
Centerville, OH 45459-4780 - Phone
- (937) 293-1622
- Fax
- (937) 245-6308
- NPI assigned
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0029233 | OH | Primary |
Addresses
Primary practice location
2350 Miami Valley Dr Ste 500
Centerville, OH 45459-4780
Mailing address
1022 Hollansburg Arcanum Rd
Hollansburg, OH 45332-9715
Phone (937) 564-5082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0454102 | Medicaid | OH |
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0029233 | OH | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1114598174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 HOLLANSBURG ARCANUM RD",
"city": "HOLLANSBURG",
"state": "OH",
"postal_code": "453329715",
"telephone_number": "937-564-5082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 MIAMI VALLEY DR STE 500",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594780",
"telephone_number": "937-293-1622",
"fax_number": "937-245-6308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "KARLA",
"middle_name": "J.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-09",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0029233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0454102",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.