Active NPI
Keiliha A Reid, MD, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Danbury, CT
National Provider Identifier
1336586510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 005095
- Practice address
- 120 Main St
Danbury, CT 06810-7834 - Phone
- (203) 743-9760
- NPI assigned
- May 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 005095 | CT | Primary |
Addresses
Primary practice location
120 Main St
Danbury, CT 06810-7834
Mailing address
128 Redbud Dr
Clayton, NC 27520-4800
Phone (203) 910-3153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5095 | CT | MD | Professional Counselor |
| 005095 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hiaah PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Bmwhc Family & Psychiatric Healthcare Services PC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
828 Federal Rd
Ste B
Brookfield, CT 06804
Phone (800) 237-0397
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Brookfield, CT
- NPI 1316788078
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1336586510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 REDBUD DR",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275204800",
"telephone_number": "203-910-3153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MAIN ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068107834",
"telephone_number": "203-743-9760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "KEILIHA",
"middle_name": "A",
"credential": "MD, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-29",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "005095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.