Lecia Wooten Reardon, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201848 Issued in NC

Practice address

340 Seminary St
Kenansville, NC 28349-8978

Phone

(910) 296-2130

Fax

(910) 296-0252

NPI assigned

Jan 4, 2007

Last updated

Sep 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of DuplinGroup PAC ID 1456341536, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lreardon@duplin.curemd.direct-ci.com

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.

• County of Duplin

  dba Duplin County Health Services

  • State or Local Public Health Clinic/Center
  • Kenansville, NC
  • NPI 1235198177
  Medicare reassignment Care Compare group NPD
• Duplin General Hospital, Incorporated

  dba Duplin General Hospital Anesthesia

  • Specialist
  • Kenansville, NC
  • NPI 1942478383
  Medicare reassignment NPD
• County of Duplin

  dba Duplin County Emergency Medical Services

  • Land Ambulance
  • Kenansville, NC
  • NPI 1508919069
  NPD
• Duplin General Hospital Incorporated

  • General Acute Care Hospital
  • Kenansvill, NC
  • NPI 1851411029
  NPD
• Extended Care Specialists, Inc

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1669873733

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1639226418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 SEMINARY ST",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283498978",
            "telephone_number": "910-296-2130",
            "fax_number": "910-296-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 SEMINARY ST",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283498978",
            "telephone_number": "910-296-2130",
            "fax_number": "910-296-0252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Cabarrus Ave E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280253781",
            "country_code": "US",
            "telephone_number": "888-849-7379",
            "fax_number": "855-857-7333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REARDON",
        "first_name": "LECIA",
        "middle_name": "WOOTEN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201848",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amber Davis Quinn
• Brittany Mobley Rich, FNP
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• Danasia Ross
• Frank Alexander Saas, D.D.S.
• Brooks Forsythe Schomp, PA-C

• Family Nurse Practitioner in Kenansville, NC
• Providers in Kenansville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.