Connie A Reaves, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5905 Issued in TN

Practice address

899 Highway 51 S
Covington, TN 38019-2568

Phone

(901) 476-8886

Fax

(901) 476-8388

NPI assigned

Feb 21, 2007

Last updated

Jul 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, AR2 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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christian Family Medicine, LLCGroup PAC ID 7315903978, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beacon Home Health Home health agency, Memphis, TN, CCN 447277
• Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: creave01@yourcarecommunity.org

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.

• Christian Family Medicine, LLC

  dba Christian Family Medicine and Pediatrics

  • Family Medicine Physician
  • Ripley, TN
  • NPI 1043252620
  Medicare reassignment Care Compare group NPD
• Curana Health of Arkansas LLC

  • Nurse Practitioner
  • Bentonville, AR
  • NPI 1659750214
  Medicare reassignment NPD
• Forrest City Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Forrest City, AR
  • NPI 1497080501

  Nurse Practitioner

  Medicare reassignment NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  Nurse Practitioner, TN

  Medicare reassignment NPD
• Forrest City Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1760897904

  Nurse Practitioner

  NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD
• Cane Ridge Emergency Physicians LLC

  • Emergency Medicine Physician
  • Smyrna, TN
  • NPI 1275815433
  NPD (past)
• Dyersburg HBP Medical Group LLC

  • Emergency Medicine Physician
  • Dyersburg, TN
  • NPI 1013210483

  Nurse Practitioner

  NPD (past)
• Hospitalists of Jackson LLC

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1164480893
  NPD (past)
• West TN Medical, PLLC

  • Legal Medicine
  • Dyersburg, TN
  • NPI 1023053386
  NPD (past)

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

• Amedisys Tennessee, LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Memphis, TN
  • NPI 1114975539
  Care Compare affiliation
• Baptist Memorial Hospital-Tipton

  • General Acute Care Hospital
  • Covington, TN
  • NPI 1316901937
  Care Compare affiliation

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1255476677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 HIGHWAY 51 S",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380192568",
            "telephone_number": "901-476-8886",
            "fax_number": "901-476-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 HIGHWAY 51 S",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380192568",
            "telephone_number": "901-476-8886",
            "fax_number": "901-476-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVES",
        "first_name": "CONNIE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005747",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "5905",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "64614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Care Services of West TN Inc
• Professional Care Services of West TN, Inc.
• Robin C Racine
• Molly Tzila Rafaely
• Deana R Ray
• Reese Family Dentistry
• Cheryl Denae Reese, DDS
• Rehab America
• Restore Mental Health PLLC
• Richard P Guerrant MD

• Nurse Practitioner in Covington, TN
• Providers in Covington, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.