Individual provider Active NPI

Jacqueline A Reid, RT

  • Home Health Certified Respiratory Therapist
  • Chattanooga, TN
National Provider Identifier
1619416971
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Certified Respiratory TherapistTaxonomy code 2278H0200X
License
CRT0000005760 Issued in TN
Practice address
1501 Riverside Dr
Suite 350
Chattanooga, TN 37406-4309
Phone
(423) 386-1133
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Certified Respiratory Therapist 2278H0200X CRT0000005760 TN Primary

Addresses

Primary practice location

1501 Riverside Dr
Suite 350
Chattanooga, TN 37406-4309

Mailing address

8451 Jay Trent CT
Ooltewah, TN 37363-5751

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CRT0000005760TNMDHome Health Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1619416971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8451 JAY TRENT CT",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 RIVERSIDE DR",
            "address_2": "SUITE 350",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374064309",
            "telephone_number": "423-386-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "TN",
            "license": "CRT0000005760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.