Individual provider Active NPI

Dedra Renee Reed, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1336287531
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-061642 Issued in AL
Practice address
101 E I65 Service Rd S
Mobile, AL 36606-3900
Phone
(251) 471-1105
NPI assigned
Feb 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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
Family Nurse Practitioner 363LF0000X 1-061642 AL Primary

Addresses

Primary practice location

101 E I65 Service Rd S
Mobile, AL 36606-3900

Mailing address

7721 Flint Ridge Rd
Mobile, AL 36695-4120
Phone (251) 633-9154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080220000237 AL Practitioner - Nurse Practitioner 0941384606 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-061642ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Primary Health Center, Inc CurrentSince Apr 1, 2008 Accepting new patients
Hands of Hope Health Care Center CurrentSince Aug 4, 2023 Accepting new patients
Franklin Primary Health Center Inc. CurrentSince Apr 1, 2008 Accepting new patients
Checkups - Al LLC Past Accepting new patients

Locations

1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

4625 Moffett Rd
Mobile, AL 36618
Phone (251) 287-6146

851 E I65 Service Rd S
Ste 402
Mobile, AL 36606

Interoperability endpoints

  • Direct secure messaging: dedra.reed.1@18033.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18033/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336287531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 FLINT RIDGE RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954120",
            "telephone_number": "251-633-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E I65 SERVICE RD S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063900",
            "telephone_number": "251-471-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "DEDRA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-061642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.