Individual provider Active NPI

Jessica Reid, FNP

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1427778299
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
REID-EMZ8O Issued in NC
Practice address
7780 Brier Creek Pkwy Ste 200
Raleigh, NC 27617-7869
Phone
(919) 596-3400
Fax
(919) 596-3499
NPI assigned
Aug 31, 2022
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X REID-EMZ8O NC Primary

Addresses

Primary practice location

7780 Brier Creek Pkwy Ste 200
Raleigh, NC 27617-7869

Mailing address

1806 Whirlaway CT
Cary, NC 27519-5406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20221213000077 NC Practitioner - Nurse Practitioner 5799154886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Community Health IncGroup PAC ID 3577471697, 32 clinicians

Practice addresses (Care Compare)

130 N Judd Pkwy NE
Fuquay Varina, NC 27526-2367
Phone (919) 833-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
REID-EMZ8ONCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Community Health, Inc CurrentSince Apr 22, 2024 Accepting new patients
Advance Community Health, Inc CurrentSince Apr 22, 2024 Accepting new patients
Brier Creek Integrated Pain & Spine PLLC CurrentSince Sep 12, 2022 Accepting new patients
JKM Community Services, PLLC Past Accepting new patients

Locations

4214 N Roxboro St
Durham, NC 27704
Phone (919) 226-1261

1840 Owen Dr
Ste 103
Fayetteville, NC 28304
Phone (910) 223-7246

130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499

109 Forest Hills Dr
Garner, NC 27529
Phone (919) 863-6939

1970 W Arlington Blvd
Ste C
Greenville, NC 27834
Phone (252) 317-1195

1011 Rock Quarry Rd
Raleigh, NC 27610

7780 Brier Creek Pkwy
Raleigh, NC 27617

7780 Brier Creek Pkwy
Ste 200
Raleigh, NC 27617
Phone (919) 246-7266

121 Enterprise Dr
Rocky Mount, NC 27804
Phone (252) 200-5180

340 Commerce Ave
Southern Pines, NC 28387
Phone (800) 445-6118

612 Jefferson St
Ste 20
Whiteville, NC 28472
Phone (910) 207-6417

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, 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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1427778299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 WHIRLAWAY CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275195406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 BRIER CREEK PKWY STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177869",
            "telephone_number": "919-596-3400",
            "fax_number": "919-596-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "REID-EMZ8O",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.