Individual provider Active NPI

Reese Hewett

  • Social Worker
  • Beverly Hills, FL
National Provider Identifier
1114648979
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
3404 N Lecanto Hwy Ste D
Beverly Hills, FL 34465-3569
Phone
(352) 419-4856
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
Yes

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)
Not enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3404 N Lecanto Hwy Ste D
Beverly Hills, FL 34465-3569

Mailing address

10645 E Turtle LN
Floral City, FL 34436-2259

Other practice location 1

110 S Apopka Ave
Inverness, FL 34452-4837
Phone (352) 560-7027

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address reese@impactyourlifecc.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2022.

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1114648979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 E TURTLE LN",
            "city": "FLORAL CITY",
            "state": "FL",
            "postal_code": "344362259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 N LECANTO HWY STE D",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653569",
            "telephone_number": "352-419-4856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S Apopka Ave",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344524837",
            "country_code": "US",
            "telephone_number": "352-560-7027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEWETT",
        "first_name": "REESE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "reese@impactyourlifecc.com",
            "affiliation": "N",
            "address_1": "3404 N Lecanto Hwy Ste D",
            "city": "Beverly Hills",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344653569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly Hills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.