Individual provider Active NPI

Julie A Reese, NP

  • Family Nurse Practitioner
  • Canton, OH
National Provider Identifier
1609387273
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.021937 Issued in OH
Practice address
4761 Higbee Ave NW
Canton, OH 44718-2551
Phone
(330) 493-0476
Fax
(330) 493-0803
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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 APRN.CNP.021937 OH Primary

Addresses

Primary practice location

4761 Higbee Ave NW
Canton, OH 44718-2551

Mailing address

1193 Norton Ave Ste a
Norton, OH 44203-9526
Phone (330) 825-1152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171106001799 OH Practitioner - Nurse Practitioner 4587920673 Reassigns benefits to 1 organization
I20260408001556 PA Practitioner - Nurse Practitioner 4587920673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

2476 Swedesford Rd
150 Davita Administration Office
Malvern, PA 19355-1456
Phone (720) 631-1142

791 White Pond Dr
Akron, OH 44320-1136
Phone (330) 805-8939

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.021937OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villagehealth DM LLC CurrentSince Sep 1, 2024 Accepting new patients
Radiology Associates of Canton, Inc. Past Accepting new patients

Locations

791 White Pond Dr
Akron, OH 44320
Phone (330) 805-8939

2476 Swedesford Rd
Ste 150
Malvern, PA 19355
Phone (720) 631-1142

Interoperability endpoints

  • Direct secure messaging: julie.reese@direct.aultman.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1609387273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1193 NORTON AVE STE A",
            "city": "NORTON",
            "state": "OH",
            "postal_code": "442039526",
            "telephone_number": "330-825-1152",
            "fax_number": "330-854-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182551",
            "telephone_number": "330-493-0476",
            "fax_number": "330-493-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.