Active NPI
Jerome Joseph Reid, MS, ATC
- Athletic Trainer
- Nashville, TN
National Provider Identifier
1336582915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1416
- Practice address
- 460 Great Circle Rd
Nashville, TN 37228-1404 - Phone
- (605) 565-4088
- NPI assigned
- Apr 12, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1416 | TN | Primary |
Addresses
Primary practice location
460 Great Circle Rd
Nashville, TN 37228-1404
Mailing address
6820 Highway 70 S
Unit 406
Nashville, TN 37221-5235
Phone (804) 605-4535
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1416 | TN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365724800000",
"number": "1336582915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6820 HIGHWAY 70 S",
"address_2": "UNIT 406",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372215235",
"telephone_number": "804-605-4535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 GREAT CIRCLE RD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281404",
"telephone_number": "605-565-4088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "JEROME",
"middle_name": "JOSEPH",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-12",
"last_updated": "2013-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "1416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.