Individual provider Active NPI

Reda Denise Reed, APN

  • Nurse Practitioner
  • Conway, AR
National Provider Identifier
1699763441
Registry record updated Aug 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A01565 Issued in AR
Practice address
1700 Altus St
Ste 110
Conway, AR 72032-4299
Phone
(501) 450-1448
Fax
(501) 450-1324
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
Yes

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Regional Medical Center Inc 129 clinicians

Practice addresses (Care Compare)

1360 The New Rd
Shirley, AR 72153-8126

2526 Hwy 65 S
Suite 202
Clinton, AR 72031-6678

2526 Hwy 65 S
Suite 203
Clinton, AR 72031-2526

437 Denison St
Suite 2
Conway, AR 72034-6127
Phone (501) 504-2330

P O Box
Suite 9662
Conway, AR 72033-9662

PO Box
Suite 9662
Conway, AR 72033

Hospital & facility affiliations

  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20070404000196 AR Practitioner - Nurse Practitioner 3779687561 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A01565ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center, Inc CurrentSince Apr 1, 2021 Accepting new patients
Conway Regional Medical Center, Inc CurrentSince Jul 1, 2020 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Jul 1, 2020 Accepting new patients
Conway Regional Medical Center Inc PastSince Jan 1, 1990 Accepting new patients
Conway Regional Medical Center Inc PastSince Jan 1, 1990 Accepting new patients
Conway Regional Medical Center Inc PastSince Jan 1, 1990 Accepting new patients
Conway Regional Medical Center Inc PastSince Jan 1, 1990 Accepting new patients
Conway Regional Medical Center Inc PastSince Jan 1, 1990 Accepting new patients
Conway Regional Medical Center Inc PastSince Jan 1, 1990 Accepting new patients
Mayflower Family Medicine PastSince Jan 1, 1990 Accepting new patients
Conway Regional Medical Center, Inc PastSince Jan 1, 1990 Accepting new patients
Conway Regional Medical Center, Inc PastSince Jan 1, 1990 Accepting new patients
Conway Regional Medical Center Inc PastSince Jan 1, 1990 Accepting new patients
Conway Regional Medical Center, Inc PastSince Jan 1, 1990 Accepting new patients
Conway Regional Medical Center Inc PastSince Jan 1, 1990 Accepting new patients

Locations

2526 Highway 65 S
Ste 201
Clinton, AR 72031
Phone (501) 745-3388

2526 Highway 65 S
Ste 203
Clinton, AR 72031
Phone (501) 745-4914

1 Medical Ln
Conway, AR 72034
Phone (501) 329-2948

437 Denison St
Ste 2
Conway, AR 72034
Phone (501) 504-2330

525 Western Ave
Ste 203
Conway, AR 72034
Phone (501) 327-4828

437 Denison St
Conway, AR 72034
Phone (501) 327-1325

1700 Altus St
Ste 110
Conway, AR 72032
Phone (501) 852-1366

110 N Broadview St
Greenbrier, AR 72058
Phone (501) 679-3551

587 Highway 365
Mayflower, AR 72106
Phone (501) 470-7413

606 Highway 365
Mayflower, AR 72106
Phone (501) 358-6905

108 Skyline Dr
Russellville, AR 72801
Phone (479) 968-7170

1159 Main St
Vilonia, AR 72173
Phone (501) 796-2791

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A01565 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

1700 Altus St
Ste 110
Conway, AR 72032-4299

Mailing address

PO Box 9662
Conway, AR 72033-9662
Phone (501) 852-1363

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2020.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596844800000",
    "number": "1699763441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9662",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720339662",
            "telephone_number": "501-852-1363",
            "fax_number": "501-852-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ALTUS ST",
            "address_2": "STE 110",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324299",
            "telephone_number": "501-450-1448",
            "fax_number": "501-450-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "REDA",
        "middle_name": "DENISE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A01565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.