Raquel Janay Reed-Washington, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904716 Issued in MS

Practice address

3548 Herbert CV
Southaven, MS 38672-2003

Phone

(662) 910-9423

NPI assigned

Jun 11, 2020

Last updated

Nov 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Mississippi Health Care IncGroup PAC ID 5294717377, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HECABD
• Direct secure messaging: raquel.reedwashington@lcabe.eclinicaldirectplus.com

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.

• Northeast Mississippi Health Care, Inc.

  dba Byhalia Family Health Center - Medical

  • Federally Qualified Health Center (FQHC)
  • Byhalia, MS
  • NPI 1558410738
  Medicare reassignment Care Compare group NPD
• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  MS

  Medicare reassignment NPD
• Northeast Mississippi Health Care, Inc.

  dba Mt. Pleasant Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Mt. Pleasant, MS
  • NPI 1386792992
  NPD

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1336764778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 754",
            "city": "COLDWATER",
            "state": "MS",
            "postal_code": "386180754",
            "telephone_number": "662-910-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3548 HERBERT CV",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386722003",
            "telephone_number": "662-910-9423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Brunswick St",
            "address_purpose": "LOCATION",
            "city": "Byhalia",
            "state": "MS",
            "postal_code": "386117000",
            "country_code": "US",
            "telephone_number": "662-838-2163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED-WASHINGTON",
        "first_name": "RAQUEL",
        "middle_name": "JANAY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27403",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Ray, MOT
• RCG Southaven, LLC (RCG Southaven)
• Reach Medcare, LLC
• Reed Counseling and Consulting
• Chalonda Reed-Phillips
• Jessica Rena Reed, EDS, NCC, LPC
• Jonathan Wesley Reed, CRNA
• Sandra Joann Reed, MD
• Tammy Q Reed, APN
• Reggie White Cardio-Pulmonary Rehabilitation Center LLC

• Family Nurse Practitioner in Southaven, MS
• Providers in Southaven, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.