Teri Marla Friedman Reid, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

300091 Issued in NC

Practice address

313 Main St
Bayboro, NC 28515-2851

Phone

(252) 745-2070

NPI assigned

Mar 15, 2006

Last updated

Feb 8, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

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.

• Pamlico Pediatrics, PC

  • Legal Medicine
  • Alliance, NC
  • NPI 1528195906
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1861461550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "BAYBORO",
            "state": "NC",
            "postal_code": "285150416",
            "telephone_number": "252-745-2070",
            "fax_number": "252-745-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MAIN ST",
            "city": "BAYBORO",
            "state": "NC",
            "postal_code": "285152851",
            "telephone_number": "252-745-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "TERI",
        "middle_name": "MARLA FRIEDMAN",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "300091",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "9600080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamlico County Schools
• Pamlico Regional Medical Center PA
• Amber Marie Perrorazio
• Macy Poole, LCSWA
• Port Human Services
• Rha Health Services Inc
• Rha Health Services, Inc.
• Rose and Rose DDS PA
• Clarence Vernon Rose Jr., DDS
• Joshua Clayton Rose, DDS

• Pediatric Nurse Practitioner in Bayboro, NC
• Providers in Bayboro, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.