Individual provider Active NPI

Shelli Irene Reed, CPNP

  • Pediatric Nurse Practitioner
  • Wadsworth, OH
National Provider Identifier
1649447913
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
COA09550 Issued in OH
Practice address
1225 High St
Wadsworth, OH 44281-9421
Phone
(330) 335-7337
Fax
(330) 334-8309
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X COA09550 OH Primary

Addresses

Primary practice location

1225 High St
Wadsworth, OH 44281-9421

Mailing address

10110 Nelson CT
Wadsworth, OH 44281-8826
Phone (330) 715-1403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120131000791 OH Practitioner - Nurse Practitioner 6709043979 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA09550OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center of Akron CurrentSince Dec 7, 2011 Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Dec 7, 2011 Accepting new patients
Children'S Hospital Medical Center of Akron Current Accepting new patients
Akron Children'S Hospital Current Accepting new patients

Locations

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

1225 High St
Wadsworth, OH 44281
Phone (330) 335-7337

Interoperability endpoints

  • Direct secure messaging: sreed28410@direct.chmca.org

Organizations & group practices 4

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1649447913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 NELSON CT",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818826",
            "telephone_number": "330-715-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 HIGH ST",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819421",
            "telephone_number": "330-335-7337",
            "fax_number": "330-334-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "SHELLI",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "COA09550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

Verify at the official NPI Registry.