Organization Active NPI

Diane E. Reed

Doing business as MacDonald Health Center

  • Family Nurse Practitioner
  • Woodhull, NY
National Provider Identifier
1619198983
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F330728 Issued in NY
Legal business name
DIANE E. REED
Doing business as
MacDonald Health Center
Practice address
1585 Academy St
Woodhull, NY 14898-9600
Phone
(607) 458-5158
Fax
(607) 458-5598
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Diane E Reed, MSN FNPNPI 1316032410
Title
Owner
Phone
(607) 458-5158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F330728 NY Primary

Addresses

Primary practice location

1585 Academy St
Woodhull, NY 14898-9600

Mailing address

1585 Academy St
Woodhull, NY 14898-9600
Phone (607) 458-5158

Other names 1

  • MacDonald Health Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2335305Macdonald Health Center1585 Academy St, Woodhull, NY 14898Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619198983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 ACADEMY ST",
            "city": "WOODHULL",
            "state": "NY",
            "postal_code": "148989600",
            "telephone_number": "607-458-5158",
            "fax_number": "607-458-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 ACADEMY ST",
            "city": "WOODHULL",
            "state": "NY",
            "postal_code": "148989600",
            "telephone_number": "607-458-5158",
            "fax_number": "607-458-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE E. REED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-458-5158",
        "authorized_official_credential": "MSN FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MacDonald Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodhull, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.