Individual provider Active NPI

Karen Reece, FNP

  • Family Nurse Practitioner
  • Sebastopol, MS
National Provider Identifier
1609853647
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R654558 Issued in MS
Practice address
1488 Highway 487
Sebastopol, MS 39359
Phone
(601) 625-7403
Fax
(601) 625-7404
NPI assigned
Dec 30, 2005
Last updated
Jan 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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 R654558 MS Primary

Addresses

Primary practice location

1488 Highway 487
Sebastopol, MS 39359

Mailing address

P.O. Box 150
Sebastopol, MS 39359
Phone (601) 625-7403

Other identifiers 2

IdentifierTypeStateIssuer
P00015212OtherRAILROAD MEDICARE
00116295MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100616000128 MS Practitioner - Nurse Practitioner 0345370482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1488 Hwy 487
Sebastopal Clinic
Sebastopol, MS 39359-0150
Phone (601) 625-7403

PO Box
Suite 142
Sebastopol, MS 39359

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R654558MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Central Mississippi Health Care, Inc. CurrentSince Oct 1, 2001 Accepting new patients
East Central Mississippi Health Care, Inc Current Accepting new patients
East Central Mississippi Health Care Inc CurrentSince Oct 1, 2001 Accepting new patients

Locations

9431 Eastside Drive Ext
Ste E
Newton, MS 39345
Phone (601) 635-3435

10330 Road 375
Philadelphia, MS 39350
Phone (601) 656-0226

199 Rimmer St
Walnut Grove, MS 39189
Phone (601) 253-2733

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17349/brand/1/csg/1/fhir/r4
  • Direct secure messaging: karen.reece.1@17349.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1609853647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 150",
            "city": "SEBASTOPOL",
            "state": "MS",
            "postal_code": "39359",
            "telephone_number": "601-625-7403",
            "fax_number": "601-625-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 HIGHWAY 487",
            "city": "SEBASTOPOL",
            "state": "MS",
            "postal_code": "39359",
            "telephone_number": "601-625-7403",
            "fax_number": "601-625-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REECE",
        "first_name": "KAREN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R654558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00015212",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116295",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, MS

Sources for this page

Verify at the official NPI Registry.