Redi Med LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME80489 Issued in FL

Legal business name

REDI MED LLC

Practice address

4550 Executive Dr
#104
Naples, FL 34119-8805

Phone

(239) 566-1226

Fax

(239) 566-2519

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Shawn Miller, MDNPI 1124106745

Title

Owner

Phone

(239) 566-1226

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12343/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yanaris Presilla Bassing, ARNP

  • Nurse Practitioner
  • Naples, FL
  • NPI 1013747245
  Medicare reassignment Care Compare group NPD
• Allenscott W Eacker, PA

  • Medical Physician Assistant
  • Naples, FL
  • NPI 1902832033
  Medicare reassignment Care Compare group
• Adrian Ungureanu, PA-C

  • Medical Physician Assistant
  • Naples, FL
  • NPI 1184925695
  Medicare reassignment Care Compare group
• Daniel Pop, APRN

  • Nurse Practitioner
  • Naples, FL
  • NPI 1386114841
  Medicare reassignment NPD
• John Smyser, PAC

  • Medical Physician Assistant
  • Naples, FL
  • NPI 1275618654
  Medicare reassignment
• Shawn B Miller, MD

  • Internal Medicine Physician
  • Bonita Springs, FL
  • NPI 1124106745
  NPD (past) Authorized official

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1194737403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 EXECUTIVE DR",
            "address_2": "#104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198805",
            "telephone_number": "239-566-1226",
            "fax_number": "239-566-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 EXECUTIVE DR",
            "address_2": "#104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198805",
            "telephone_number": "239-566-1226",
            "fax_number": "239-566-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDI MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-566-1226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME80489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "51538A",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meagan Recinella
• Reclaiming Collective LLC
• Recovery Partners, P.C.
• Earl Frank Rectanus Jr., PH.D.
• Frank A Reda III, MD
• Barbra J Reed, DMD
• Christa Marion Reed
• Eric H. Reed, DDS, MD
• George C Reed III, PT
• Lisa Marie Reedman

• Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.