Active NPI
Clayton Dale Reedy, N.P.-C
- Adult Health Nurse Practitioner
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP 9271730
- Practice address
- 200 Avenue F NE
Winter Haven, FL 33881-4131 - Phone
- (863) 293-1191
- Fax
- (863) 292-4112
- NPI assigned
- Oct 21, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP 9271730 | FL | Primary |
Addresses
Primary practice location
200 Avenue F NE
Winter Haven, FL 33881-4131
Mailing address
500 E Central Ave
Winter Haven, FL 33880-3053
Phone (863) 293-1191
Other practice location 1
500 E Central Ave
Winter Haven, FL 33880-3053
Phone (863) 293-1191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014157600 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Ave F NE
Winter Haven, FL 33881-4131
Phone (863) 293-1191
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9271730 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventhealth Bond Clinic, Inc. | Current | Accepting new patients | |
| Pulmonary Disease Specialists, PA | Current | Accepting new patients | |
| Adventhealth Bond Clinic, Inc. | Current | Accepting new patients | |
| Bond Clinic PA | Current | Accepting new patients | |
| Bond Clinic PA | Current | Accepting new patients | |
| Diversity Healthcare 'LLC' | Past | Accepting new patients | |
| Bond Urgent Care LLC | Past | Accepting new patients | |
| Diversity Healthcare 'LLC' | Past | Accepting new patients |
Locations
110 Park Place Blvd
Davenport, FL 33837
Phone (863) 419-0104
1121 N Central Ave
Kissimmee, FL 34741
Phone (407) 933-1221
1121 N Central Ave
Ste B
Kissimmee, FL 34741
Phone (407) 933-1221
290 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 933-1221
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
500 E Central Ave
Winter Haven, FL 33880
Phone 86329311913286
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- clayton.reedy.d1.p1@direct.bondclinicpa.nextgenshare.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Winter Haven, FL
- NPI 1558150755
-
dba Diversity Healthcare
- Primary Care Clinic/Center
- Haines City, FL
- NPI 1144907429
-
- Internal Medicine Physician
- Winter Haven, FL
- NPI 1881639193
-
- Pulmonary Disease Physician
- Kissimmee, FL
- NPI 1649484809
-
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1730018730
-
- Primary Care Nurse Practitioner
- Winter Haven, FL
- NPI 1780524512
-
dba AdventHealth Bond Clinic
- Prosthetic/Orthotic Supplier
- Winter Haven, FL
- NPI 1053294678
-
- Internal Medicine Physician
- Winter Haven, FL
- NPI 1992565766
-
- Urgent Care Clinic/Center
- Winter Haven, FL
- NPI 1235641739
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1558765479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E CENTRAL AVE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803053",
"telephone_number": "863-293-1191",
"fax_number": "863-292-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 AVENUE F NE",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814131",
"telephone_number": "863-293-1191",
"fax_number": "863-292-4112"
}
],
"practiceLocations": [
{
"address_1": "500 E Central Ave",
"address_purpose": "LOCATION",
"city": "Winter Haven",
"state": "FL",
"postal_code": "338803053",
"country_code": "US",
"telephone_number": "863-293-1191",
"fax_number": "863-292-4112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REEDY",
"first_name": "CLAYTON",
"middle_name": "DALE",
"credential": "N.P.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-21",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP 9271730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014157600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.