Jessica Reddin

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

58519 Issued in TX

Practice address

655 Airport Rd
Sulphur Springs, TX 75482-2009

Phone

(903) 438-3270

Fax

(903) 438-3280

NPI assigned

Sep 10, 2018

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lakes Regional Mental Health Mental Retardation Center

  • Community/Behavioral Health Agency
  • Terrell, TX
  • NPI 1881752715
  Medicare reassignment

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1801379573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751600014",
            "telephone_number": "972-524-4159",
            "fax_number": "972-524-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 AIRPORT RD",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822009",
            "telephone_number": "903-438-3270",
            "fax_number": "903-438-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDIN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Home Health Care LLC
• Dhawal R Ram, MD
• Jane Frances Ramirez, LVN
• Taelor Rawson, PTA
• Rd Nutrition, LLC
• Natasha Reddy, PTA
• Melaine M Reese, PNP
• Emily N Reeves, SLP-INTERN
• Angela W Reid, M.ED BCBA LBATX
• Renal Care Group Texas, Inc.

• Clinical Social Worker in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.