Active NPI
Jennifer J Reid, FNP
- Family Nurse Practitioner
- Springboro, OH
National Provider Identifier
1356437016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP.020268
- Practice address
- 60 Remick Blvd # 60
Springboro, OH 45066-9168 - Phone
- (937) 886-5510
- NPI assigned
- Oct 4, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN.433553 | OH | |
| Registered Nurse First Assistant | 163WR0006X | RN46811 | ME | |
| Family Nurse Practitioner | 363LF0000X | CNP81285 | ME | |
| Family Nurse Practitioner | 363LF0000X | CNP.020268 | OH | Primary |
Addresses
Primary practice location
60 Remick Blvd # 60
Springboro, OH 45066-9168
Mailing address
60 Remick Blvd
Springboro, OH 45066-9168
Phone (937) 886-5510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 411540099 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.28 of 100
- Quality
- 73.83
- Improvement activities
- 40
- Cost
- 45.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.433553 | OH | MD | General Practice Registered Nurse |
| RN46811 | ME | MD | Registered Nurse First Assistant |
| CNP.020268 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Care of Ohio LLC | Family | Current | Accepting new patients |
| CG Medical Associates Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| American Arthritis & Rheumatology Associates Oh LLC | Past | Accepting new patients |
Locations
9349 Waterstone Blvd
Ste 340
Cincinnati, OH 45249
Phone (513) 997-6600
7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100
519 S Breiel Blvd
Middletown, OH 45044
Phone (513) 433-1288
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.
-
- Urgent Care Clinic/Center
- Cincinnati, OH
- NPI 1982903951
-
- Rheumatology Physician
- Liberty Township, OH
- NPI 1336624824
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1356437016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 REMICK BLVD",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450669168",
"telephone_number": "937-886-5510",
"fax_number": "937-886-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 REMICK BLVD # 60",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450669168",
"telephone_number": "937-886-5510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "JENNIFER",
"middle_name": "J",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "OH",
"license": "RN.433553",
"primary": false
},
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "ME",
"license": "RN46811",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP81285",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "CNP.020268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "411540099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.