Individual provider Active NPI

Nicole Lesley Reid, M.D.

  • Surgery Physician
  • Temple, TX
National Provider Identifier
1215089891
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
P7553 Issued in TX
Practice address
2601 Thornton LN
Temple, TX 76502-1808
Phone
(254) 724-2111
Fax
(254) 235-1056
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2007011080 MO
Surgery Physician 208600000X P7553 TX Primary

Addresses

Primary practice location

2601 Thornton LN
Temple, TX 76502-1808

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other identifiers 3

IdentifierTypeStateIssuer
P7553OtherTXMEDICARE
140GNOtherNCBCBS NC
5901629MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nreid69610@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130917000539 TX Practitioner - General Surgery 9436193174 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians
Arlington Physician Services PAGroup PAC ID 8224256961, 43 clinicians

Practice addresses (Care Compare)

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

2601 Thornton LN
Temple, TX 76502-1808
Phone (254) 724-6622

3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone (214) 947-7281

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Removal of tissue504
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007011080MOMDSurgery Physician
P7553TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group Surgery CurrentSince Aug 12, 2013 Accepting new patients
Scott & White Clinic Surgery CurrentSince Jan 24, 2024 Accepting new patients
Scott & White Clinic Surgery CurrentSince Jan 24, 2024 Accepting new patients
Arlington Physician Services PA Surgery CurrentSince Dec 1, 2016 Accepting new patients
Timberland Medical Group CurrentSince Aug 12, 2013 Accepting new patients
Falls Community Hospital and Clinic CurrentSince Sep 1, 2021 Accepting new patients
Falls Community Hospital and Clinic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Wound Care Physicians PA Past Accepting new patients
Carolina Vascular Surgery and PastSince Dec 30, 2002 Accepting new patients
Poplar Bluff Hma Physician Management, LLC Surgery Past Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

322 Coleman St
Marlin, TX 76661
Phone 2548033561153

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2401 S 31st St
#20
Temple, TX 76508

2601 Thornton Ln
Temple, TX 76502
Phone (254) 724-2026

Interoperability endpoints

  • Direct secure messaging: nreid69610@direct.sw.org

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1215089891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 THORNTON LN",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021808",
            "telephone_number": "254-724-2111",
            "fax_number": "254-235-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "NICOLE",
        "middle_name": "LESLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2007011080",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "P7553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "P7553",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "140GN",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901629",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nreid69610@direct.sw.org",
            "affiliation": "N",
            "address_1": "2601 Thornton Ln",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765021808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.