Active NPI
Monique A Reid
- Registered Nurse
- Lithia Springs, GA
National Provider Identifier
1164853156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 652012-1
- Practice address
- 222 Preston Landing Cir
Lithia Springs, GA 30122-6849 - Phone
- (404) 503-6640
- NPI assigned
- Dec 2, 2013
- Last updated
- Mar 10, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 652012-1 | NY | Primary |
| Registered Nurse | 163W00000X | RN232986 | GA |
Addresses
Primary practice location
222 Preston Landing Cir
Lithia Springs, GA 30122-6849
Mailing address
222 Preston Landing Cir
Lithia Springs, GA 30122-6849
Phone (404) 503-6640
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 |
|---|---|---|---|
| RN232986 | GA | MD | Registered Nurse |
| 652012-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1164853156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 PRESTON LANDING CIR",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301226849",
"telephone_number": "404-503-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 PRESTON LANDING CIR",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301226849",
"telephone_number": "404-503-6640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "MONIQUE",
"middle_name": "A",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-02",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "652012-1",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN232986",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lithia Springs, GA
- Richard James Ray, PTA
- Erin M Redwine, DDS
- Lorie Reed, CNM
- Erica Deshun Reeves, LPC
- Regional Home Healthcare Systems
- Renal Life Link Inc (Sweetwater Dialysis)
- Restoring the Whole U
- Revive Orthopedics Spine & Sports Medicine, Inc (Revive Orthopedics Spine & Sports Medicine)
- Revive Orthopedics Spine & Sports Surgery Center Inc
- Erica Richardson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.