Individual provider Active NPI

Kelsey Elizabeth Reekie, AGACNP

  • Acute Care Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1689045957
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP129339 Issued in TX
Practice address
4240 International Pkwy
Suite 154
Carrollton, TX 75007-1970
Phone
(469) 574-0464
Fax
(469) 574-0471
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP129339 TX Primary

Addresses

Primary practice location

4240 International Pkwy
Suite 154
Carrollton, TX 75007-1970

Mailing address

3315 Colorado Blvd
Ste 102
Denton, TX 76210-6885
Phone (940) 320-1708

Other practice location 1

8479 Davis Blvd Ste 100
North Richland Hills, TX 76182-8604
Phone (817) 953-8450

Other practice location 2

4375 Booth Calloway Rd Ste 505
North Richland Hills, TX 76180-8359
Phone (817) 953-8450

Other identifiers 1

IdentifierTypeStateIssuer
354727501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160120001444 TX Practitioner - Nurse Practitioner 3971806266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart360 Specialists PCGroup PAC ID 1658765243, 6 clinicians

Practice addresses (Care Compare)

4401 Booth Calloway Rd
North Richland Hills, TX 76180-7371
Phone (817) 255-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP129339TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart360 Specialists PC CurrentSince Apr 1, 2022 Accepting new patients
Surgery Associates of NTX, PLLC PastSince Aug 1, 2018 Accepting new patients

Locations

117 Gemini Cir
Ste 403
Homewood, AL 35209

8513 Mid Cities Blvd
North Richlnd Hls, TX 76182
Phone (817) 803-1234

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

Interoperability endpoints

  • Direct secure messaging: 9202-reekie-kelsey@direct.leadingreach.com

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": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1689045957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 COLORADO BLVD",
            "address_2": "STE 102",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106885",
            "telephone_number": "940-320-1708",
            "fax_number": "940-565-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 INTERNATIONAL PKWY",
            "address_2": "SUITE 154",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071970",
            "telephone_number": "469-574-0464",
            "fax_number": "469-574-0471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8479 Davis Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761828604",
            "country_code": "US",
            "telephone_number": "817-953-8450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4375 Booth Calloway Rd Ste 505",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761808359",
            "country_code": "US",
            "telephone_number": "817-953-8450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEKIE",
        "first_name": "KELSEY",
        "middle_name": "ELIZABETH",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP129339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354727501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.