Erin S Redd, APN CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209007200 Issued in IL

Practice address

1404 Eastland Dr
Suite 204
Bloomington, IL 61701-3532

Phone

(309) 662-8813

Fax

(309) 662-6835

NPI assigned

Sep 3, 2008

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

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates in Dermatology SCGroup PAC ID 8921084476, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Medical Center Hospital, Bloomington, IL, CCN 140162

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eredd@directaddress.net

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.

• Associates in Dermatology SC

  • Dermatology Physician
  • Bloomington, IL
  • NPI 1689863904
  Medicare reassignment Care Compare group NPD
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Medical Center

  • General Acute Care Hospital
  • Bloomington, IL
  • NPI 1619916806
  Care Compare affiliation

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1578711586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 EASTLAND DR",
            "address_2": "SUITE 204",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013532",
            "telephone_number": "309-662-8813",
            "fax_number": "309-662-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 EASTLAND DR",
            "address_2": "SUITE 204",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013532",
            "telephone_number": "309-662-8813",
            "fax_number": "309-662-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDD",
        "first_name": "ERIN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "APN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209007200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Ray, MD
• William John Ray, M.D.
• Johanna Rayman, LCSW
• Janet Reckard, LCSW, ACSW
• Alissa Recker, P.T.
• Brandy Lynn Redman, OT
• Kimberly Dawn Reed
• Laura L Reed
• Makayla A Reed
• Jason Daniel Reel-Haas, LCPC

• Nurse Practitioner in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.

Verify at the official NPI Registry.