Individual provider Active NPI

Diane E Reed, FNP

  • Nurse Practitioner
  • Woodhull, NY
National Provider Identifier
1316032410
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F330728 Issued in NY
Practice address
1585 Academy St
Woodhull, NY 14898
Phone
(607) 458-5158
Fax
(607) 458-5598
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F330728 NY Primary

Addresses

Primary practice location

1585 Academy St
Woodhull, NY 14898

Mailing address

6415 Cnty Rte 100
Addison, NY 14801
Phone (607) 359-2876

Other identifiers 1

IdentifierTypeStateIssuer
01613890MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070509000272 NY Practitioner - Nurse Practitioner 8426000258 Practice locations: Woodhull, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1585 Academy St
Woodhull, NY 14898-9600
Phone (607) 458-5148

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F330728NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diane E. Reed PastSince Jan 1, 1990 Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316032410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 CNTY RTE 100",
            "city": "ADDISON",
            "state": "NY",
            "postal_code": "14801",
            "telephone_number": "607-359-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 ACADEMY ST",
            "city": "WOODHULL",
            "state": "NY",
            "postal_code": "14898",
            "telephone_number": "607-458-5158",
            "fax_number": "607-458-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "DIANE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F330728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01613890",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhull, NY

Sources for this page

Verify at the official NPI Registry.