Active NPI
Jasmine Denia Reid, CRNP
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP018812
- Practice address
- 6501 Harbison Ave
Philadelphia, PA 19149-2912 - Phone
- (215) 333-4300
- NPI assigned
- May 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP0000X | PA | |
| Family Nurse Practitioner | 363LF0000X | SP018812 | PA | Primary |
Addresses
Primary practice location
6501 Harbison Ave
Philadelphia, PA 19149-2912
Mailing address
6501 Harbison Ave
Philadelphia, PA 19149-2912
Phone (215) 333-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14605 Potomac Branch Dr
Suite 100
Woodbridge, VA 22191-3337
Phone (703) 738-4371
6355 Walker LN
Suite 507
Alexandria, VA 22310-3251
Phone (703) 971-4604
Hospital & facility affiliations
- Inova Alexandria Hospital
- Inova Mount Vernon Hospital
- Virginia Hospital Center
- Inova Fair Oaks Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP0000X | PA | MD | Family Nurse Practitioner |
| SP018812 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Medicine Associates, LTD | Current | Accepting new patients | |
| Physical Medicine Associates, LTD | Current | Accepting new patients | |
| Physical Medicine Associates LTD | Past | Accepting new patients |
Locations
11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071
6355 Walker Ln
Ste 507
Alexandria, VA 22310
Phone (703) 738-4332
5213 Hickory Park Dr
Ste B
Glen Allen, VA 23059
Phone (804) 270-7262
14605 Potomac Branch Dr
Ste 100
Woodbridge, VA 22191
Phone (703) 738-4371
Interoperability endpoints
- jreid@spineandpain.emadirect.md
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 and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- MC Lean, VA
- NPI 1003884560
DC
-
- Interventional Pain Medicine Physician
- Fairfax, VA
- NPI 1316465461
-
- Clinical Laboratory Director (Non-physician)
- Columbia, MD
- NPI 1750840666
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1922139120
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1639669120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 HARBISON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191492912",
"telephone_number": "215-333-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 HARBISON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191492912",
"telephone_number": "215-333-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "JASMINE",
"middle_name": "DENIA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP0000X",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP018812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.