Individual provider Active NPI

Brittany Sue Reeder, CNP

  • Family Nurse Practitioner
  • Worthington, OH
National Provider Identifier
1568836633
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.18456-NP Issued in OH
Practice address
5577 N High St Ste B
Worthington, OH 43085-3939
Phone
(614) 436-3870
NPI assigned
Nov 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 COA.18456-NP OH Primary

Addresses

Primary practice location

5577 N High St Ste B
Worthington, OH 43085-3939

Mailing address

5577 N High St Ste B
Worthington, OH 43085-3939
Phone (614) 436-3870

Other names 1

  • Brittany Sue Witham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160105000034 OH Practitioner - Nurse Practitioner 0749582088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5577 N High St
Worthington, OH 43085-3939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.18456-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Regenerative Medicine LLC CurrentSince Oct 2, 2020 Accepting new patients

Locations

5577 N High St
Ste B
Worthington, OH 43085
Phone (614) 400-4301

5577 N High St
Ste A
Worthington, OH 43085
Phone (614) 436-3870

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": "1448841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1568836633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5577 N HIGH ST STE B",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853939",
            "telephone_number": "614-436-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5577 N HIGH ST STE B",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853939",
            "telephone_number": "614-436-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDER",
        "first_name": "BRITTANY",
        "middle_name": "SUE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-30",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18456-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "WITHAM",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.