Individual provider Active NPI

Anna Pauline Reed, CPNP, APRN

  • Pediatric Nurse Practitioner
  • Norman, OK
National Provider Identifier
1801453493
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R0086324 Issued in OK
Practice address
3231 Healthplex Dr
Norman, OK 73072-1043
Phone
(405) 321-5114
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R0086324 OK Primary

Addresses

Primary practice location

3231 Healthplex Dr
Norman, OK 73072-1043

Mailing address

3231 Healthplex Dr
Norman, OK 73072-1043
Phone (405) 209-2389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20190920000015 OK Order and Referring Only - Nurse Practitioner 7719217587

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0086324OKMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Pediatric Associates PastSince Mar 12, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: areed@jkp.gwaydirect.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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1801453493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 HEALTHPLEX DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721043",
            "telephone_number": "405-209-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 HEALTHPLEX DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721043",
            "telephone_number": "405-321-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "ANNA",
        "middle_name": "PAULINE",
        "credential": "CPNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "R0086324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.