Individual provider Active NPI

Reeda Newton Brewer, CRNP

  • Family Nurse Practitioner
  • Tuscumbia, AL
National Provider Identifier
1578748356
Registry record updated Dec 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-092014 Issued in AL
Practice address
1404 E Avalon Ave
Suite B-00
Tuscumbia, AL 35674-1773
Phone
(256) 381-5234
Fax
(256) 381-5232
NPI assigned
Dec 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2007

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 1-092014 AL Primary

Addresses

Primary practice location

1404 E Avalon Ave
Suite B-00
Tuscumbia, AL 35674-1773

Mailing address

1404 E Avalon Ave
Suite B-00
Tuscumbia, AL 35674-1773
Phone (256) 381-5234

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-092014ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lister Healthcare Corporation Past Accepting new patients
Singing River Healthcare, LLC PastSince Jul 24, 2017 Accepting new patients
State of Alabama Department of Public Health Past Accepting new patients

Organizations & group practices 3

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": "1198972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198972800000",
    "number": "1578748356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 E AVALON AVE",
            "address_2": "SUITE B-00",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741773",
            "telephone_number": "256-381-5234",
            "fax_number": "256-381-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 E AVALON AVE",
            "address_2": "SUITE B-00",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741773",
            "telephone_number": "256-381-5234",
            "fax_number": "256-381-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "REEDA",
        "middle_name": "NEWTON",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-30",
        "last_updated": "2007-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-092014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscumbia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2007; 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.