Active NPI
Mary Carol Reeder, NP
- Acute Care Nurse Practitioner
- Encinitas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- NP21978
- Practice address
- 320 Santa Fe Dr
Suite 308
Encinitas, CA 92024-5138 - Phone
- (760) 632-4269
- Fax
- (760) 632-4256
- NPI assigned
- Oct 2, 2012
- Last updated
- Oct 2, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | NP21978 | CA | Primary |
Addresses
Primary practice location
320 Santa Fe Dr
Suite 308
Encinitas, CA 92024-5138
Mailing address
320 Santa Fe Dr
Suite 308
Encinitas, CA 92024-5138
Phone (760) 632-4269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 294-8111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP21978 | CA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health Inpatient Providers Medical Group Inc. | Current | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Acute Care Associates, Inc | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Locations
435 H St
Chula Vista, CA 91910
Phone (619) 691-7000
320 Santa Fe Dr
Ste 308
Encinitas, CA 92024
Phone (760) 230-5188
326 Santa Fe Dr
Ste 110
Encinitas, CA 92024
Phone (760) 633-7302
354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251
10010 Campus Point Dr
San Diego, CA 92121
Phone (858) 314-0586
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
Interoperability endpoints
- mreeder6616@scrippshlth.medalliesdirect.net
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1699043000
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
dba In-Patient Medical Group
- Pulmonary Disease Physician
- Encinitas, CA
- NPI 1841387214
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
dba Scripps Coastal Medical Center
- Family Medicine Physician
- San Diego, CA
- NPI 1881636108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1538411475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SANTA FE DR",
"address_2": "SUITE 308",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245138",
"telephone_number": "760-632-4269",
"fax_number": "760-632-4256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 SANTA FE DR",
"address_2": "SUITE 308",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245138",
"telephone_number": "760-632-4269",
"fax_number": "760-632-4256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEDER",
"first_name": "MARY CAROL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-02",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "NP21978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
- Trenton Read
- Rebeccah Rodriguez Regner LLC
- Marcia A. Rebelo, LCSW
- Eli Benjamin Recht, AMFT
- Alaina Reed, BCBA
- Denise Reeves, PSY.D.
- Regents of the University of Ca
- Regents of the University of California
- Regents of the University of California (North Coastal Multi-Specialty)
- Regents of the University of California (UCSD Radiation Oncology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.