Individual provider Active NPI

Susannah Lea Reed, APRN, CNM

  • Advanced Practice Midwife
  • St Petersburg, FL
National Provider Identifier
1316321078
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN9483547 Issued in FL
Practice address
1600 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4204
Phone
(727) 323-3838
Fax
(727) 456-0751
NPI assigned
Jul 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN9483547 FL Primary

Addresses

Primary practice location

1600 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4204

Mailing address

PO Box 25317
Tampa, FL 33622-5317
Phone (813) 286-0033

Other practice location 1

16271 Bass Rd
Fort Myers, FL 33908-3616
Phone (239) 343-7100

Other identifiers 1

IdentifierTypeStateIssuer
024613400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211216002183 MO Practitioner - Certified Nurse Midwife (CNM) 7911209671 Reassigns benefits to 1 organization
I20240701003801 AR Practitioner - Certified Nurse Midwife (CNM) 7911209671 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Arkansas West PA CurrentSince Aug 13, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 1, 2024 Accepting new patients
Swope Health Services CurrentSince Oct 28, 2021 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 1, 2024 Accepting new patients
Obhg Missouri, PC Past Accepting new patients

Locations

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

7001 Rogers Ave
Ste 403
Fort Smith, AR 72903
Phone (479) 573-3101

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

Interoperability endpoints

  • Direct secure messaging: susannah.reed.1@12025.direct.athenahealth.com
  • Direct secure messaging: sreed110348@direct.leememorial.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1316321078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25317",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336225317",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337044204",
            "telephone_number": "727-323-3838",
            "fax_number": "727-456-0751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16271 Bass Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083616",
            "country_code": "US",
            "telephone_number": "239-343-7100",
            "fax_number": "239-343-7190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "SUSANNAH",
        "middle_name": "LEA",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN9483547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024613400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.