Individual provider Active NPI

Karen Lynn Reese, D.C.

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1780650556
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8255 Issued in FL
Practice address
735 Arlington Ave N Ste 203
St Petersburg, FL 33701-3654
Phone
(727) 821-7400
Fax
(727) 821-5981
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8255 FL Primary

Addresses

Primary practice location

735 Arlington Ave N Ste 203
St Petersburg, FL 33701-3654

Mailing address

735 Arlington Ave N Ste 203
St Petersburg, FL 33701-3654
Phone (727) 821-7400

Other identifiers 1

IdentifierTypeStateIssuer
381779900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050924000001 FL Practitioner - Chiropractic 5294769253 Practice locations: Saint Petersburg, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8255FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Health & Wellness, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: karen.reese.1@31266.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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1780650556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 ARLINGTON AVE N STE 203",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013654",
            "telephone_number": "727-821-7400",
            "fax_number": "727-821-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 ARLINGTON AVE N STE 203",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013654",
            "telephone_number": "727-821-7400",
            "fax_number": "727-821-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381779900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.