Individual provider Active NPI

Jessica S Reed, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1538630041
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000413 Issued in FL
Practice address
4726 N Habana Ave Ste 104
Tampa, FL 33614-7144
Phone
(813) 531-8550
NPI assigned
Dec 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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 APRN11000413 FL Primary

Addresses

Primary practice location

4726 N Habana Ave Ste 104
Tampa, FL 33614-7144

Mailing address

4935 Bobbie Ave
Lakeland, FL 33812-3104
Phone (904) 803-4937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200205002314 FL Practitioner - Nurse Practitioner 2264868595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

Practice addresses (Care Compare)

3450 E Fletcher Ave
Suite 350
Tampa, FL 33613-4699
Phone (813) 739-7493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain Relief Group PLLC Family CurrentSince Jan 27, 2020 Accepting new patients

Locations

427 S Parsons Ave
Ste 112
Brandon, FL 33511
Phone (813) 651-4441

11705 San Jose Blvd
Ste 110
Jacksonville, FL 32223
Phone (904) 292-2700

6310 Health Park Way
Ste 320
Lakewood Ranch, FL 34202
Phone (941) 361-1123

10903 Sheldon Rd
Tampa, FL 33626
Phone (727) 631-7846

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

4730 N Habana Ave
Ste 104
Tampa, FL 33614
Phone (813) 426-8260

7518 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (813) 426-8263

Interoperability endpoints

  • Direct secure messaging: jessica.reed@ppoa.directbygreenway.com

Organizations & group practices 1

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": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1538630041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4935 BOBBIE AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338123104",
            "telephone_number": "904-803-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4726 N HABANA AVE STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147144",
            "telephone_number": "813-531-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JESSICA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.