Active NPI
Diane Reed
- Counselor
- Danville, IA
National Provider Identifier
1356480081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 00369
- Practice address
- 21589 Highway 79
Danville, IA 52623-9798 - Phone
- (319) 392-4176
- Fax
- (319) 392-4891
- NPI assigned
- Feb 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00369 | IA | Primary |
Addresses
Primary practice location
21589 Highway 79
Danville, IA 52623-9798
Mailing address
21589 Highway 79
Danville, IA 52623-9798
Phone (319) 392-4176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00369 | IA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russ D Reed | Counselor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Danville, IA
- NPI 1356480677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356480081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21589 HIGHWAY 79",
"city": "DANVILLE",
"state": "IA",
"postal_code": "526239798",
"telephone_number": "319-392-4176",
"fax_number": "319-392-4891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21589 HIGHWAY 79",
"city": "DANVILLE",
"state": "IA",
"postal_code": "526239798",
"telephone_number": "319-392-4176",
"fax_number": "319-392-4891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "DIANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IA",
"license": "00369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.