Haley Raquel Reid

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

38043 Issued in TN

Practice address

1633 W Morris Blvd
Morristown, TN 37813-3875

Phone

(423) 492-7100

Fax

(423) 586-9347

NPI assigned

Jan 23, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Haley Raquel Reid Former name

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Fort Sanders Perinatal Center

  • Maternal & Fetal Medicine Physician
  • Knoxville, TN
  • NPI 1003811381
  Medicare reassignment NPD

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1114739307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 W MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133875",
            "telephone_number": "423-492-7100",
            "fax_number": "423-586-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 W MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133875",
            "telephone_number": "423-492-7100",
            "fax_number": "423-586-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "HALEY",
        "middle_name": "RAQUEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q099686",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "REID",
            "middle_name": "RAQUEL",
            "credential": "HALEY RAQUEL GARLAND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Larry Hal Reed, P.T.
• Stephanie Shay Reese, SOME COLLEGE
• Rehab Group of Morristown, Inc.
• Rehab Group of Morristown, Inc.
• Charles Jason Reid, PHARM.D.
• Sharon Reid, LPC-MHSP
• Nina Cipriana Rendon-Owens
• Omer Clyde Renner Jr., MD
• Restorative Family Medicine
• Jennifer R. Revis, M.S.

• Family Nurse Practitioner in Morristown, TN
• Providers in Morristown, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.