Active NPI
Lindsay Marie Reeves, FNP-C
- Family Nurse Practitioner
- Coos Bay, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 202201525NP
- Practice address
- 1957 Thompson Rd Ste G
Coos Bay, OR 97420-2040 - Phone
- (541) 404-6848
- Fax
- (541) 982-7283
- NPI assigned
- Feb 25, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | 202201525NP | OR | |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | 202201525NP-PP | OR | |
| Family Nurse Practitioner | 363LF0000X | 202201525NP | OR | Primary |
Addresses
Primary practice location
1957 Thompson Rd Ste G
Coos Bay, OR 97420-2040
Mailing address
1957 Thompson Rd Ste G
Coos Bay, OR 97420-2040
Phone (541) 404-6848
Other practice location 1
1226 Virginia Ave
North Bend, OR 97459-2716
Phone (541) 305-4224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202201525NP | OR | MD | Obesity Medicine (Preventive Medicine) Physician |
| 202201525NP-PP | OR | MD | Obesity Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icco, LLC | Current | Accepting new patients | |
| Icco LLC | Current | Accepting new patients | |
| Icco, LLC | Current | Accepting new patients |
Locations
598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473
1226 Virginia Ave
North Bend, OR 97459
Phone (541) 305-4224
Organizations & group practices 3
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": "1645747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1336895556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1957 THOMPSON RD STE G",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202040",
"telephone_number": "541-404-6848",
"fax_number": "541-982-7283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1957 THOMPSON RD STE G",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202040",
"telephone_number": "541-404-6848",
"fax_number": "541-982-7283"
}
],
"practiceLocations": [
{
"address_1": "1226 Virginia Ave",
"address_purpose": "LOCATION",
"city": "North Bend",
"state": "OR",
"postal_code": "974592716",
"country_code": "US",
"telephone_number": "541-305-4224",
"fax_number": "541-305-4227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REEVES",
"first_name": "LINDSAY",
"middle_name": "MARIE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-25",
"last_updated": "2023-06-14",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": "OR",
"license": "202201525NP",
"primary": false
},
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": "OR",
"license": "202201525NP-PP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "202201525NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.