Andrea Reed, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

13652 Issued in TN

Practice address

121 Village Dr
Suite 101
Portland, TN 37148-1418

Phone

(615) 325-2226

Fax

(615) 325-8885

NPI assigned

Sep 30, 2008

Last updated

Sep 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Urgent Care Enterprise LLC

  • Urgent Care Clinic/Center
  • Antioch, TN
  • NPI 1477087658
  NPD (past)

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1801046586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783A N RUSSELL ST",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371482014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 VILLAGE DR",
            "address_2": "SUITE 101",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481418",
            "telephone_number": "615-325-2226",
            "fax_number": "615-325-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "ANDREA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "13652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510057",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Tennessee Medical PC (Unipres - Portland)
• Marlys K Proctor, P.T.A.
• Progressivehealth Healthspot
• Ralph H. Ruckle, MD
• Red Spruce Emergency Physicians, PLLC
• Justin Tyler Reid, OD
• Results-Ast JV, LLC (Results Physiotherapy Together With Ascension Saint Thomas)
• Richland Place Senior Living
• Ralph H. Ruckle, M.D.
• Tasha Ruffin

• Nurse Practitioner in Portland, TN
• Providers in Portland, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.