Active NPI
Shenoah Jean Reed
- Peer Specialist
- Minneapolis, MN
National Provider Identifier
1538840749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 10967 University Ave NE Apt F
Minneapolis, MN 55434-1993 - Phone
- (612) 567-7786
- Fax
- (763) 390-0027
- NPI assigned
- Jul 31, 2023
- Last updated
- Jul 31, 2023
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | MN | ||
| Peer Specialist | 175T00000X | MN | Primary |
Addresses
Primary practice location
10967 University Ave NE Apt F
Minneapolis, MN 55434-1993
Mailing address
10967 University Ave NE Apt F
Minneapolis, MN 55434-1993
Phone (612) 567-7786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A877963200 | Other | MN | UMPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenoah Reed | Case Manager/Care Coordinator | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1538840749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10967 UNIVERSITY AVE NE APT F",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554341993",
"telephone_number": "612-567-7786",
"fax_number": "763-390-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10967 UNIVERSITY AVE NE APT F",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554341993",
"telephone_number": "612-567-7786",
"fax_number": "763-390-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "SHENOAH",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-31",
"last_updated": "2023-07-31",
"certification_date": "2023-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MN",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMPI",
"identifier": "A877963200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.