Jennifer L Reid

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

325 5TH Ave
Frankfort, NY 13340-3622

Phone

(315) 717-7442

Fax

(315) 895-0062

NPI assigned

Sep 2, 2016

Last updated

Sep 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Simply Special Early Learning Center LLC

  • Early Intervention Provider Agency
  • Frankfort, NY
  • NPI 1912134461
  NPD (past)

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1548717879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 5TH AVE",
            "city": "FRANKFORT",
            "state": "NY",
            "postal_code": "133403622",
            "telephone_number": "315-717-7442",
            "fax_number": "315-895-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 5TH AVE",
            "city": "FRANKFORT",
            "state": "NY",
            "postal_code": "133403622",
            "telephone_number": "315-717-7442",
            "fax_number": "315-895-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Petkovsek
• Anne Marie Petriski
• Frank M Piacente
• Shelby Quinn
• Karen Reese
• Stacy Lorraine Richard
• Rite Aid of New York Inc (Rite Aid Pharmacy 03460)
• Alicia M Rocker
• Nancy Edith Rodrigo, M. D.
• Russo Physical Therapy PC

• Specialist in Frankfort, NY
• Providers in Frankfort, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.