Individual provider Active NPI

Amy R Reeter, D.P.M.

  • Podiatrist
  • Herrin, IL
National Provider Identifier
1669769204
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016005593 Issued in IL
Practice address
101 N 16TH St
Herrin, IL 62948-1750
Phone
(618) 988-6034
NPI assigned
Jul 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016005593 IL Primary

Addresses

Primary practice location

101 N 16TH St
Herrin, IL 62948-1750

Mailing address

101 N 16TH St
Herrin, IL 62948-1750
Phone (618) 988-6034

Other identifiers 1

IdentifierTypeStateIssuer
016005593OtherILLICENSE

Other names 1

  • Amy R Turner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250908003037 IL Order and Referring Only - PodiatryPractitioner - Podiatry 6406073220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel R Brown Past Accepting new patients
Daniel R Brown Podiatrist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1669769204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 16TH ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629481750",
            "telephone_number": "618-988-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 16TH ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629481750",
            "telephone_number": "618-988-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REETER",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-04",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016005593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "016005593",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "TURNER",
            "middle_name": "R",
            "credential": "D.P.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Herrin, IL

Sources for this page

Verify at the official NPI Registry.