Individual provider Active NPI

Ila Evette Reed, NNP-BC, FNP-C

  • Critical Care Neonatal Nurse Practitioner
  • Los Alamos, NM
National Provider Identifier
1164852786
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
CNP01036 Issued in NM
Practice address
3917 West Rd
Los Alamos, NM 87544-2275
Phone
(505) 353-2375
NPI assigned
Nov 18, 2013
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP01036 NM
Critical Care Neonatal Nurse Practitioner 363LN0005X 95005675 CA
Critical Care Neonatal Nurse Practitioner 363LN0005X CNP01036 NM Primary

Addresses

Primary practice location

3917 West Rd
Los Alamos, NM 87544-2275

Mailing address

1980 Kettner Blvd Apt 331
San Diego, CA 92101-2258
Phone (505) 353-2375

Other practice location 1

8400 Osuna Rd NE
Albuquerque, NM 87111-2087
Phone (505) 353-2375

Other practice location 2

4443 Rancho Largo Rd NW
Albuquerque, NM 87120-5366
Phone (505) 353-2375

Other identifiers 2

IdentifierTypeStateIssuer
010949200MedicaidFL
003151317AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20260518000405 NM Order and Referring Only - Nurse Practitioner 5890787386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95005675CAMDCritical Care Neonatal Nurse Practitioner
CNP01036NMMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ila.reed.1@19849.direct.athenahealth.com
  • Direct secure messaging: ireed298021@ahs.direct-ci.com
  • Direct secure messaging: ireed81504@scrippshlth.medalliesdirect.net
  • Direct secure messaging: jud5402@yourcarecommunity.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1164852786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 KETTNER BLVD APT 331",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012258",
            "telephone_number": "505-353-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST RD",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442275",
            "telephone_number": "505-353-2375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8400 Osuna Rd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871112087",
            "country_code": "US",
            "telephone_number": "505-353-2375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4443 Rancho Largo Rd NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871205366",
            "country_code": "US",
            "telephone_number": "505-353-2375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "ILA",
        "middle_name": "EVETTE",
        "credential": "NNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP01036",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "CA",
            "license": "95005675",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NM",
            "license": "CNP01036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010949200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003151317A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

Verify at the official NPI Registry.