Active NPI
Danielle E Reid, MD
- Pediatrics Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME68559
- Practice address
- 2070 S Military TRL
West Palm Beach, FL 33415-6409 - Phone
- (561) 968-8462
- Fax
- (561) 721-1342
- NPI assigned
- Dec 14, 2005
- Last updated
- Apr 12, 2017
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME68559 | FL | Primary |
Addresses
Primary practice location
2070 S Military TRL
West Palm Beach, FL 33415-6409
Mailing address
6362 Sandy Hill Way
Lake Worth, FL 33463-8222
Phone (954) 785-2355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378426600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2070 S Military TRL
106 PCC Brito Medical Center
West Palm Beach, FL 33415-6409
Phone (561) 968-8462
2911 N Military TRL D
PCC of West Palm
West Palm Beach, FL 33409-2922
Phone (561) 478-8825
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCC Medical Holdings LLC | Current | Accepting new patients | |
| Lahens Medical Center, Inc. | Past | Accepting new patients |
Locations
1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165
1732 S Congress Ave
Palm Springs, FL 33461
Phone (561) 385-0731
2070 S Military Trl
West Palm Beach, FL 33415
Phone (561) 968-8462
2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825
Interoperability endpoints
- danielle.reid.1@14802.direct.athenahealth.com
- danielle.reid.1@32578.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Lake Worth, FL
- NPI 1174167993
-
- General Practice Physician
- Palmetto Bay, FL
- NPI 1588844047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1114902996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6362 SANDY HILL WAY",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334638222",
"telephone_number": "954-785-2355",
"fax_number": "954-785-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2070 S MILITARY TRL",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334156409",
"telephone_number": "561-968-8462",
"fax_number": "561-721-1342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "DANIELLE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME68559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378426600",
"state": "FL"
}
],
"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 Apr 12, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.