Individual provider Active NPI

Cindy Luella Reed, ARNP, RN

  • Family Nurse Practitioner
  • Mattawa, WA
National Provider Identifier
1770940322
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60629650 Issued in WA
Practice address
210 Government Rd
Mattawa, WA 99349-5116
Phone
(509) 932-4499
Fax
(509) 932-5363
NPI assigned
Jan 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60629650 WA Primary

Addresses

Primary practice location

210 Government Rd
Mattawa, WA 99349-5116

Mailing address

PO Box 1581
Mattawa, WA 99349-0960
Phone (509) 932-4499

Other identifiers 2

IdentifierTypeStateIssuer
2057392MedicaidWA
358313OtherWA(L&I)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20161213000264 WA Practitioner - Nurse Practitioner 5597045310 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60629650WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William Forsythe, DO, PLLC CurrentSince Nov 14, 2024 Accepting new patients

Locations

2839 W Kennewick Ave
Kennewick, WA 99336
Phone (509) 783-8977

1031 N Kellogg St
Kennewick, WA 99336
Phone (509) 460-1065

1268 Lee Blvd
Richland, WA 99352
Phone (509) 942-2660

Interoperability endpoints

  • Direct secure messaging: cindy.reed.1@29013.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1770940322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1581",
            "city": "MATTAWA",
            "state": "WA",
            "postal_code": "993490960",
            "telephone_number": "509-932-4499",
            "fax_number": "509-932-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 GOVERNMENT RD",
            "city": "MATTAWA",
            "state": "WA",
            "postal_code": "993495116",
            "telephone_number": "509-932-4499",
            "fax_number": "509-932-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "CINDY",
        "middle_name": "LUELLA",
        "credential": "ARNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60629650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2057392",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "(L&I)",
            "identifier": "358313",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattawa, WA

Sources for this page

Verify at the official NPI Registry.