Active NPI
Jerri Lynn Reed, CST/CSFA
- Surgical Assistant
- Laurinburg, NC
National Provider Identifier
1154949428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 196442
- Practice address
- 500 Lauchwood Dr
Laurinburg, NC 28352-5501 - Phone
- (910) 291-7720
- NPI assigned
- Jul 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 196442 | NC | Primary |
Addresses
Primary practice location
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Mailing address
8520 McLeod Rd
Laurinburg, NC 28352-8306
Phone (910) 280-3175
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196442 | NC | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1154949428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8520 MCLEOD RD",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283528306",
"telephone_number": "910-280-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LAUCHWOOD DR",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283525501",
"telephone_number": "910-291-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "JERRI",
"middle_name": "LYNN",
"credential": "CST/CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-13",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "NC",
"license": "196442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurinburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.