Active NPI
Anjail Reddick, MS
- Developmental Disabilities Clinic/Center
- Bear, DE
National Provider Identifier
1447812193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Practice address
- 123 Antlers LN
Bear, DE 19701-2770 - Phone
- (215) 989-2005
- NPI assigned
- Jul 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
123 Antlers LN
Bear, DE 19701-2770
Mailing address
123 Antlers Lane
Bear, DE 19701-1805
Phone (215) 989-2005
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | areddick@devereux.org | Direct | |
| Direct Messaging Address | anjail@purpleroseseis.onmicrosoft.com |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1447812193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 ANTLERS LANE",
"city": "BEAR",
"state": "DE",
"postal_code": "197011805",
"telephone_number": "215-989-2005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 ANTLERS LN",
"city": "BEAR",
"state": "DE",
"postal_code": "197012770",
"telephone_number": "215-989-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDICK",
"first_name": "ANJAIL",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-02",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "areddick@devereux.org",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "998 Old Eagle School Rd Ste 1206",
"city": "Wayne",
"state": "PA",
"country_code": "US",
"postal_code": "190871805",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "anjail@purpleroseseis.onmicrosoft.com",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "123 Antlers Ln",
"city": "Bear",
"state": "DE",
"country_code": "US",
"postal_code": "197012770",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.