Marla D. Reid, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

F430418-1 Issued in NY

Practice address

152 Delaware Avenue
Waterbury, CT 06708

Phone

(347) 350-8130

NPI assigned

Oct 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1679725568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 DELAWARE AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082448",
            "telephone_number": "347-350-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 DELAWARE AVENUE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06708",
            "telephone_number": "347-350-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "MARLA",
        "middle_name": "D.",
        "name_prefix": "Miss",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F430418-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George J Rehkamp, AS
• Adil Abdul Rehman, PHARMACIST
• Kadah Reich, CRNA
• Michal Reichman
• Christian Reid
• Steven Reid
• Reidville Dentistry & Implants
• Kathy Reiff
• Elizabeth Reilly, BSW
• Kevin Edward Reilly, DMD

• Acute Care Nurse Practitioner in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Acute Care Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.