Individual provider Active NPI

Loleita Leanora Green-Reid, APRN-FNP

  • Family Nurse Practitioner
  • Prescott Valley, AZ
National Provider Identifier
1669036901
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223757 Issued in AZ
Practice address
3212 N Windsong Dr Ste 200
Prescott Valley, AZ 86314-2255
Phone
(928) 583-1000
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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 223757 AZ Primary

Addresses

Primary practice location

3212 N Windsong Dr Ste 200
Prescott Valley, AZ 86314-2255

Mailing address

1090 Commerce Dr
Prescott, AZ 86305-3700
Phone (928) 771-3122

Other practice location 1

1090 Commerce Dr
Prescott, AZ 86305-3700
Phone (928) 771-3122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190701001232 AZ Practitioner - Nurse Practitioner 9739413444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of YavapaiGroup PAC ID 8921919499, 20 clinicians

Practice addresses (Care Compare)

1090 Commerce Dr
Prescott, AZ 86305-3700
Phone (928) 583-1000

3212 N Windsong Dr
Prescott Valley, AZ 86314-2255
Phone (952) 583-1000

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223757AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Yavapai Current Accepting new patients
County of Yavapai Past Accepting new patients

Locations

1090 Commerce Dr
Prescott, AZ 86305
Phone (928) 583-1000

Interoperability endpoints

  • Direct secure messaging: loleita.greenreidcnp.p1@direct.ycchs.nextgenshare.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1669036901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 COMMERCE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053700",
            "telephone_number": "928-771-3122",
            "fax_number": "928-771-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 N WINDSONG DR STE 200",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142255",
            "telephone_number": "928-583-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1090 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863053700",
            "country_code": "US",
            "telephone_number": "928-771-3122",
            "fax_number": "928-771-3369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN-REID",
        "first_name": "LOLEITA",
        "middle_name": "LEANORA",
        "name_prefix": "Mrs.",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "223757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.