Individual provider Active NPI

Jennifer Reid

  • Licensed Practical Nurse
  • Junction City, OR
National Provider Identifier
1811411366
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
201703900LPN Issued in OR
Practice address
23804 Hwy 99 W
Junction City, OR 97448-9201
Phone
(541) 554-8755
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 201703900LPN OR Primary

Addresses

Primary practice location

23804 Hwy 99 W
Junction City, OR 97448-9201

Mailing address

23804 Hwy 99 W
Junction City, OR 97448-9201
Phone (541) 554-8755

Other names 1

  • Jennifer Walsh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
201703900LPNORMDLicensed Practical Nurse

Interoperability endpoints

  • Direct secure messaging: jennifer.reid.p2@direct.lanecounty.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811411366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23804 HWY 99 W",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974489201",
            "telephone_number": "541-554-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23804 HWY 99 W",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974489201",
            "telephone_number": "541-554-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201703900LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WALSH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Junction City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.