Individual provider Active NPI

Kathy Lynn Reeves, CRNP

  • Family Nurse Practitioner
  • Homewood, AL
National Provider Identifier
1790856904
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-028781 Issued in AL
Practice address
35 W Lakeshore Dr
Homewood, AL 35209-7253
Phone
(205) 226-5900
Fax
(205) 226-5937
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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 1-028781 AL Primary

Addresses

Primary practice location

35 W Lakeshore Dr
Homewood, AL 35209-7253

Mailing address

35 W Lakeshore Dr
Homewood, AL 35209-7253
Phone (205) 226-5900

Other identifiers 3

IdentifierTypeStateIssuer
F020OtherALSNEAD MEDICARE GROUP #
D729OtherALONEONTA MC GROUP#
891005390MedicaidAL

Other names 1

  • Kathy Lynn Reeves Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-028781ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC Past Accepting new patients

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1790856904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W LAKESHORE DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352097253",
            "telephone_number": "205-226-5900",
            "fax_number": "205-226-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W LAKESHORE DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352097253",
            "telephone_number": "205-226-5900",
            "fax_number": "205-226-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "KATHY",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-028781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SNEAD MEDICARE GROUP #",
            "identifier": "F020",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONEONTA MC GROUP#",
            "identifier": "D729",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891005390",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "REEVES",
            "middle_name": "LYNN",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.