Individual provider Active NPI

Stephanie Reese

  • Family Nurse Practitioner
  • Troy, AL
National Provider Identifier
1457741431
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-096859 Issued in AL
Practice address
200 Cherry St
Troy, AL 36081-2044
Phone
(334) 566-6022
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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 1-096859 AL Primary

Addresses

Primary practice location

200 Cherry St
Troy, AL 36081-2044

Mailing address

2424 Webb Rd
Dothan, AL 36303-6234
Phone (334) 796-3201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20150413001946 AL Practitioner - Nurse Practitioner 2062730542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Central Mental Health Mental Retardation, Inc.Group PAC ID 3870575202, 3 clinicians

Practice addresses (Care Compare)

200 Cherry St
Troy, AL 36081-2044
Phone (334) 566-6022

202 Abercrombie St
Union Springs, AL 36089-1701
Phone (334) 566-6022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-096859ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Central Mental Health Mental Retardation, Inc. CurrentSince Feb 16, 2015 Accepting new patients
Signify Health, LLC CurrentSince Sep 30, 2022 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

200 Cherry St
Troy, AL 36081
Phone (334) 566-3391

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1457741431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 WEBB RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036234",
            "telephone_number": "334-796-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CHERRY ST",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360812044",
            "telephone_number": "334-566-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-096859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

Verify at the official NPI Registry.