Active NPI
Jeffery Hodge Reid Sr., CRNA
- Certified Registered Nurse Anesthetist
- Liberal, KS
National Provider Identifier
1295848224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1433359042
- Practice address
- 315 W 15TH St
Liberal, KS 67901-2455 - Phone
- (620) 629-6259
- Fax
- (620) 629-6655
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1433359042 | KS | Primary |
Addresses
Primary practice location
315 W 15TH St
Liberal, KS 67901-2455
Mailing address
PO Box 120
Alma, CO 80420-0120
Phone (719) 836-0219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1433359042 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid West Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Sterling Regional Medcenter | Past | Accepting new patients | |
| Liberal Anesthesia Consultants LLC | Past | Accepting new patients | |
| Anesthesia Critical Care Nursing,PA | Past | Accepting new patients | |
| Okmulgee Memorial Hospital, Inc | Past | Accepting new patients | |
| Omh Home Health | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Medical-Surgical Registered Nurse
- Dodge City, KS
- NPI 1881611713
-
- Anesthesiology Physician
- Liberal, KS
- NPI 1982648515
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Certified Registered Nurse Anesthetist
- Sterling, CO
- NPI 1558327056
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Okmulgee, OK
- NPI 1083616221
-
- Home Health Agency
- Okmulgee, OK
- NPI 1831191543
-
- General Acute Care Hospital
- Sterling, CO
- NPI 1942238555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295848224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 120",
"city": "ALMA",
"state": "CO",
"postal_code": "804200120",
"telephone_number": "719-836-0219",
"fax_number": "719-836-0219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W 15TH ST",
"city": "LIBERAL",
"state": "KS",
"postal_code": "679012455",
"telephone_number": "620-629-6259",
"fax_number": "620-629-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "JEFFERY",
"middle_name": "HODGE",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "1433359042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberal, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.