Individual provider Active NPI

Nicole Bernice Reeves

  • Social Worker
  • Smyrna, TN
National Provider Identifier
1225681307
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
14998 Issued in TN
Practice address
301 Wolverine TRL Ste 200
Smyrna, TN 37167-5656
Phone
(615) 751-0579
NPI assigned
Jul 18, 2019
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X 14998 TN Primary

Addresses

Primary practice location

301 Wolverine TRL Ste 200
Smyrna, TN 37167-5656

Mailing address

930 Douglas St Apt 410D
Chattanooga, TN 37403-4340
Phone (615) 631-4091

Other practice location 1

4160 Ocoee St N Ste 8
Cleveland, TN 37312-4886
Phone (423) 362-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14998TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Tennessee, LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

1035 E Old Hickory Blvd
Madison, TN 37115
Phone (615) 868-6464

301 Wolverine Trl
Ste 200
Smyrna, TN 37167
Phone (615) 459-5228

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/sperohealth/r4/

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1225681307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 DOUGLAS ST APT 410D",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374034340",
            "telephone_number": "615-631-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WOLVERINE TRL STE 200",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675656",
            "telephone_number": "615-751-0579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 Ocoee St N Ste 8",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373124886",
            "country_code": "US",
            "telephone_number": "423-362-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEVES",
        "first_name": "NICOLE",
        "middle_name": "BERNICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "14998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.