Jessica R Reed, MSN, GNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R054879 Issued in ME

Practice address

246 Kennedy Memorial Dr
Ste 202 Evergereen Family Practice
Waterville, ME 04901-4556

Phone

(207) 873-6655

Fax

(207) 877-9826

NPI assigned

Aug 13, 2008

Last updated

Dec 1, 2008By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1609022474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 KENNEDY MEMORIAL DR",
            "address_2": "STE 202 EVERGEREEN FAMILY PRACTICE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014556",
            "telephone_number": "207-873-6655",
            "fax_number": "207-877-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 KENNEDY MEMORIAL DR",
            "address_2": "STE 202 EVERGEREEN FAMILY PRACTICE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014556",
            "telephone_number": "207-873-6655",
            "fax_number": "207-877-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "MSN, GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R054879",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ME",
            "license": "R054879",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433129799",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard F Ray Jr., LCPC
• Thomas Tod Raynor, CADC
• Julia Re
• Tara Reagan, PSY.D., L.M.H.C.A.
• Kristen Record, LMSW-CC
• Regional Home Care Inc (Waterville Home Oxygen)
• Regional Home Care Inc
• Melissa Reichert
• Robert Allen Remillard, R.PH.
• Resilience, Inc

• Family Nurse Practitioner in Waterville, ME
• Providers in Waterville, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.