Jamie Lee Reidy, MSN, PNP, WHNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

31409A Issued in SC

Practice address

772 Eden Ter
Rock Hill, SC 29730-3622

Phone

(301) 643-8127

NPI assigned

May 31, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• La Plata Pediatrics & Family Health, LLC

  • Health Service Clinic/Center
  • La Plata, MD
  • NPI 1891001996
  Medicare reassignment NPD Authorized official
• La Plata Pediatrics & Family Health, LLC

  • Mental Health Counselor
  • La Plata, MD
  • NPI 1619757713
  NPD Authorized official

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

{
    "created_epoch": "1275264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1508185505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 JOHN ROSS PKWY STE 107",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297308975",
            "telephone_number": "301-643-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 EDEN TER",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297303622",
            "telephone_number": "301-643-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDY",
        "first_name": "JAMIE",
        "middle_name": "LEE",
        "credential": "MSN, PNP, WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-31",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "SC",
            "license": "31409A",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "31409A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Breckenridge Reeves Jr., DMD
• Regal Home Care, LLC
• Destiny Reid, RBT
• Jade Reid, MD
• Patricia Reid
• Michele Reina, PMHNP-BC
• Brian Reinertsen, MSW, LMSW, CACP
• James Reinhardt,Jr, M.D.
• Raymond A. Reiser, M.D.
• Deepti Anne Reji, D.M.D, M.P.H

• Pediatric Nurse Practitioner in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Pediatric Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.