Active NPI
Joanna Reaves, CRNP
- Primary Care Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1-155716
- Practice address
- 832 Princeton Ave SW
Birmingham, AL 35211-1320 - Phone
- (205) 206-8200
- Fax
- (205) 206-8395
- NPI assigned
- Mar 2, 2021
- Last updated
- Nov 15, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | SP023345 | PA | |
| Primary Care Nurse Practitioner | 363LP2300X | 1-155716 | AL | Primary |
Addresses
Primary practice location
832 Princeton Ave SW
Birmingham, AL 35211-1320
Mailing address
832 Princeton Ave SW
Birmingham, AL 35211-1320
Phone (205) 206-8200
Other practice location 1
701 Moore Ave
Lewisburg, PA 17837-2010
Phone (570) 577-1401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
832 Princeton Ave SW
Birmingham, AL 35211-1320
Phone (205) 206-8219
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-155716 | AL | MD | Primary Care Nurse Practitioner |
| SP023345 | PA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Nurse Practitioner | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Birmingham Internal Medicine Associates, LLC | Primary Care | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients |
Locations
832 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 206-8231
7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060
100 N Academy Ave
Danville, PA 17822
Interoperability endpoints
- joanna.reaves.1@15135.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1598796542
Primary Care
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Family Medicine Physician
- State College, PA
- NPI 1639747462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1487249470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 PRINCETON AVE SW",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111320",
"telephone_number": "205-206-8200",
"fax_number": "205-206-8395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "832 PRINCETON AVE SW",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111320",
"telephone_number": "205-206-8200",
"fax_number": "205-206-8395"
}
],
"practiceLocations": [
{
"address_1": "701 Moore Ave",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178372010",
"country_code": "US",
"telephone_number": "570-577-1401",
"fax_number": "570-577-3570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REAVES",
"first_name": "JOANNA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2022-11-15",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PA",
"license": "SP023345",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AL",
"license": "1-155716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.