Kenzie Raye Reeder

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

3016700 Issued in KY

Practice address

1009A N Dupont SQ
Louisville, KY 40207-4612

Phone

(502) 894-9950

NPI assigned

Sep 21, 2021

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 names 1

• Ms. Kenzie Raye McGowan Former name

Medicare fee-for-service enrollment

Enrolled in KY, OH2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Taylor Regional Medical Group LLCGroup PAC ID 4880616622, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Russell County Hospital Hospital, Russell Springs, KY, CCN 181330
• Taylor Regional Hospital Hospital, Campbellsville, KY, CCN 180087

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenzie.reeder@crch.eclinicaldirectplus.com

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.

• Taylor Regional Medical Group,LLC

  • Obstetrics & Gynecology Physician
  • Campbellsville, KY
  • NPI 1174697601
  Medicare reassignment Care Compare group NPD
• Faith Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Monticello, KY
  • NPI 1053964965
  Medicare reassignment NPD
• Hepatitis C Treatment Centers Inc

  • Specialist
  • Louisville, KY
  • NPI 1760667299
  Medicare reassignment NPD
• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865

  Primary Care

  Medicare reassignment NPD
• Hepatitis C Treatment Centers Inc

  • Specialist
  • Adena, OH
  • NPI 1306611702
  Medicare reassignment NPD
• Faith Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, KY
  • NPI 1790541431
  NPD
• Taylor Regional Medical Group LLC

  • Rural Health Clinic/Center
  • Campbellsville, KY
  • NPI 1073370185
  NPD
• Taylor Regional Medical Group, LLC

  • Neurology Physician
  • Campbellsville, KY
  • NPI 1083022727
  NPD
• Russell County Hospital

  • Nurse Practitioner
  • Russell Springs, KY
  • NPI 1538255948
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Russell County Hospital

  • Critical Access Hospital
  • Russell Springs, KY
  • NPI 1013954437
  Care Compare affiliation
• Taylor County Hospital District Health Facilities Corporation

  • General Acute Care Hospital
  • Campbellsville, KY
  • NPI 1689761942
  Care Compare affiliation

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1174294193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009A N DUPONT SQ",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074612",
            "telephone_number": "502-894-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009A N DUPONT SQ",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074612",
            "telephone_number": "502-894-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Dowell Rd",
            "address_purpose": "LOCATION",
            "city": "Russell Springs",
            "state": "KY",
            "postal_code": "426424278",
            "country_code": "US",
            "telephone_number": "270-866-2440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEDER",
        "first_name": "KENZIE",
        "middle_name": "RAYE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3016700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENZIE",
            "last_name": "MCGOWAN",
            "middle_name": "RAYE",
            "prefix": "MS.",
            "credential": "KENZIE RAYE MCGOWAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryder Ronald Richard Reed, MD
• Samantha L Reed, RD, LD
• Susan Elizabeth Reed
• Teresa Reed
• Amanda Grace Reeder, MS, RDN
• Lisa Reedy, AU.D
• Reema Transport
• Joseph Reese, M.S.
• Lauren Reese, MOT, OT/R
• Taylor Jay Reese, OTR

• Primary Care Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Primary Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.

Verify at the official NPI Registry.