Kristin Reddy

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN265730 Issued in MA

Practice address

68 N Front St
New Bedford, MA 02740-7327

Phone

(508) 717-0550

NPI assigned

Apr 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Reddy Wellness LLC

  • Multi-Specialty Clinic/Center
  • New Bedford, MA
  • NPI 1275377426
  NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1861247892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ASHLEY ST",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027482808",
            "telephone_number": "508-525-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 N FRONT ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027407327",
            "telephone_number": "508-717-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 County St # 3E",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027405008",
            "country_code": "US",
            "telephone_number": "774-473-9226",
            "fax_number": "866-786-5697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN54895",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN265730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin M Rebello, PHARM.D.
• Liza Jaye Rebello, RN
• Christina Redd, LICSW
• Reddy Dental Associates
• Reddy Wellness LLC
• Radha Iduru Reddy, DMD
• Raghu Iduru Reddy, DMD
• Timothy Paul Reddy
• Angela N Reed
• Stephanie Reed, M.S.W.

• Registered Nurse in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.