Individual provider Active NPI

Tashia D Reid, D.C.

  • Chiropractor
  • Casselberry, FL
National Provider Identifier
1689899619
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8558 Issued in FL
Practice address
500 State Road 436 Ste 2080
Casselberry, FL 32707-5343
Phone
(407) 574-8565
Fax
(407) 530-0398
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8558 FL Primary

Addresses

Primary practice location

500 State Road 436 Ste 2080
Casselberry, FL 32707-5343

Mailing address

500 State Road 436 Ste 2080
Casselberry, FL 32707-5343
Phone (407) 574-8565

Other identifiers 2

IdentifierTypeStateIssuer
2414813004OtherFLACN UNITED HEALTHCARE
88759OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140225001476 FL Practitioner - Chiropractic 9032349741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 State Rd
436 Suite 2080
Casselberry, FL 32707-5343
Phone (407) 574-8565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Chiropractic & Wellness Center, LLC Chiropractor CurrentSince Jul 20, 2021 Accepting new patients

Locations

500 State Road 436
Ste 2080
Casselberry, FL 32707
Phone (407) 574-8565

1626 Conway Rd
Ste C
Orlando, FL 32812
Phone (407) 574-8565

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1689899619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 STATE ROAD 436 STE 2080",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075343",
            "telephone_number": "407-574-8565",
            "fax_number": "407-530-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 STATE ROAD 436 STE 2080",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075343",
            "telephone_number": "407-574-8565",
            "fax_number": "407-530-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "TASHIA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN UNITED HEALTHCARE",
            "identifier": "2414813004",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88759",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.