Active NPI
Atrell Reed
- Chore Provider
- Hazelwood, MO
National Provider Identifier
1669847349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 1643 Hurstborough Manor Dr
Hazelwood, MO 63042-1522 - Phone
- (314) 898-7816
- NPI assigned
- Dec 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 2007026661 | MO | |
| Chore Provider | 372500000X | Primary | ||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
1643 Hurstborough Manor Dr
Hazelwood, MO 63042-1522
Mailing address
1643 Hurstborough Manor Dr
Hazelwood, MO 63042-1522
Phone (314) 898-7816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007026661 | MO | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1669847349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1643 HURSTBOROUGH MANOR DR",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630421522",
"telephone_number": "314-898-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1643 HURSTBOROUGH MANOR DR",
"city": "HAZELWOOD",
"state": "MO",
"postal_code": "630421522",
"telephone_number": "314-898-7816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "ATRELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-07",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MO",
"license": "2007026661",
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazelwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.