Individual provider Active NPI

Kathleen A Reid, NP

  • Family Nurse Practitioner
  • East Longmeadow, MA
National Provider Identifier
1619953635
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
165153 Issued in MA
Practice address
98 Shaker Road
East Longmeadow, MA 01028
Phone
(413) 525-1554
Fax
(413) 525-7764
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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 165153 MA Primary

Addresses

Primary practice location

98 Shaker Road
East Longmeadow, MA 01028

Mailing address

354 Birnie Ave
Hampden County Physician Assoc LLC
Springfield, MA 01107-1108
Phone (413) 733-3470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060201000503 MA Practitioner - Nurse Practitioner 1557375284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Physicians of Massachusetts, PCGroup PAC ID 9234321308, 60 clinicians

Practice addresses (Care Compare)

18 Union St
West Springfield, MA 01089-3317
Phone (413) 781-0100

Merit-based Incentive Payment System (MIPS)

Final score
73.71 of 100Reported as group
Quality
56.09
Improvement activities
40
Cost
79.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165153MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Massachusetts, PC CurrentSince Sep 1, 2016 Accepting new patients
DRX UC Worcester PC CurrentSince Sep 1, 2016 Accepting new patients
Afc Physicians of Massachusetts CurrentSince Sep 1, 2016 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Sep 1, 2016 Accepting new patients
The Mercy Hospital Inc Past Accepting new patients

Locations

415 Cooley St
Unit 3
Springfield, MA 01128
Phone (413) 782-4878

18 Union St
West Springfield, MA 01089
Phone (413) 781-0100

926 W Boylston St
Worcester, MA 01606
Phone (205) 403-8902

117 Stafford St
Ste A
Worcester, MA 01603
Phone (508) 755-4010

Organizations & group practices 5

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1619953635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 BIRNIE AVE",
            "address_2": "HAMPDEN COUNTY PHYSICIAN ASSOC LLC",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071108",
            "telephone_number": "413-733-3470",
            "fax_number": "413-733-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 SHAKER ROAD",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "01028",
            "telephone_number": "413-525-1554",
            "fax_number": "413-525-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "165153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.