Active NPI
Raquel Janay Reed-Washington, FNP-C
- Family Nurse Practitioner
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 904716
- Practice address
- 3548 Herbert CV
Southaven, MS 38672-2003 - Phone
- (662) 910-9423
- NPI assigned
- Jun 11, 2020
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Byhalia, MS
- NPI 1558410738
MS
-
- Federally Qualified Health Center (FQHC)
- Mt. Pleasant, MS
- NPI 1386792992
-
- Federally Qualified Health Center (FQHC)
- Southaven, MS
- NPI 1447665385
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Mississippi Health Care Inc
Practice addresses (Care Compare)
12 Brunswick St
Byhalia, MS 38611-7000
Phone (662) 838-2163
12 E Brunswick St
Byhalia, MS 38611-7000
PO Box
Suite 698
Byhalia, MS 38611
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211115001276 | MS | Practitioner - Nurse Practitioner | 7719376672 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 904716 | MS | MD | Family Nurse Practitioner |
| 27403 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Mississippi Health Care, Inc. | Current | Accepting new patients | |
| Northeast Mississippi Health Care, Inc. | Current | Accepting new patients | |
| Community Care Health Network LLC | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
12 Brunswick St
Byhalia, MS 38611
Phone (601) 838-2163
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
154 Mount Pleasant Rd
Mt Pleasant, MS 38635
Phone (662) 851-7939
Interoperability endpoints
- raquel.reedwashington@lcabe.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/HECABD
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 27403 | TN | |
| Family Nurse Practitioner | 363LF0000X | 904716 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3548 Herbert CV
Southaven, MS 38672-2003
Mailing address
PO Box 754
Coldwater, MS 38618-0754
Phone (662) 910-9423
Other practice location 1
12 Brunswick St
Byhalia, MS 38611-7000
Phone (662) 838-2163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2021.
{
"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": []
}
Other providers in Southaven, MS
Sources for this page
- 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.