Individual provider Active NPI

Christy Nicole Reed, APRN

  • Primary Care Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1669073631
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
A006201 Issued in AR
Practice address
425 W Capitol Ave Ste 435
Little Rock, AR 72201-3642
Phone
(501) 209-8671
NPI assigned
Nov 5, 2020
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X A006201 AR Primary

Addresses

Primary practice location

425 W Capitol Ave Ste 435
Little Rock, AR 72201-3642

Mailing address

1502 Silver Fox LN
Pine Bluff, AR 71603-7944
Phone (870) 718-5895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20211028000206 AR Practitioner - Nurse Practitioner 3870981673 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Comprehensive Care System, Inc CurrentSince Mar 1, 2023 Accepting new patients
Jefferson Comprehensive Care System, Inc CurrentSince Mar 1, 2023 Accepting new patients

Locations

1100 N University Ave
Ste 125
Little Rock, AR 72207
Phone (501) 663-0055

1101 S Tennessee St
Pine Bluff, AR 71601
Phone (870) 543-2300

Interoperability endpoints

  • Direct secure messaging: creed@landmarkhealth-direct.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1669073631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 SILVER FOX LN",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037944",
            "telephone_number": "870-718-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W CAPITOL AVE STE 435",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013642",
            "telephone_number": "501-209-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "CHRISTY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "A006201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.