Individual provider Active NPI

Kalyne Reid, NP-C

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1679059463
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30072 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232-4448
Phone
(615) 936-2000
NPI assigned
Jul 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 5010909 NC
Family Nurse Practitioner 363LF0000X 30072 TN Primary

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-4448

Mailing address

3841 Green Hills Village Dr
Nashville, TN 37215-2691

Other practice location 1

1705 Tarboro St SW
Wilson, NC 27893-3437
Phone (252) 399-8040

Other practice location 2

2605 Forest Hills Rd SW Ste A
Wilson, NC 27893-4448
Phone (252) 243-7977

Other practice location 3

2605 Forest Hills Rd SW Ste A
Wilson, NC 27893-4448
Phone (252) 243-7977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20221005000365 TN Practitioner - Nurse Practitioner 9234473125 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30072TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Single Specialty CurrentSince Sep 1, 2022 Accepting new patients
Saint Thomas Hickman Hospital Single Specialty Current Accepting new patients
Saint Thomas Hickman Hospital CurrentSince Mar 1, 2024 Accepting new patients
Hickman Community Health Careservices CurrentSince Mar 1, 2024 Accepting new patients
Vanderbilt University Medical Center Single Specialty CurrentSince Sep 4, 2022 Accepting new patients

Locations

150 E Swan St
Centerville, TN 37033
Phone (931) 729-3091

3841 Green Hills Village Dr
Nashville, TN 37215
Phone (615) 322-7127

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

Organizations & group practices 5

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": "1531526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1679059463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372324448",
            "telephone_number": "615-936-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 Tarboro St SW",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278933437",
            "country_code": "US",
            "telephone_number": "252-399-8040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2605 Forest Hills Rd SW Ste A",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278934448",
            "country_code": "US",
            "telephone_number": "252-243-7977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2605 Forest Hills Rd SW Ste A",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278934448",
            "country_code": "US",
            "telephone_number": "252-243-7977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "KALYNE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-14",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010909",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.