Daquet Reed

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

PCA467 Issued in WI

Practice address

1345 W Mason St Ste 202
Green Bay, WI 54303-2049

Phone

(920) 301-3907

Fax

(920) 391-5180

NPI assigned

Apr 8, 2020

Last updated

Apr 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creekside Family Care LLC

  • Home Health Agency
  • Green Bay, WI
  • NPI 1700541984
  NPD Authorized official

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1871112003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 W MASON ST STE 202",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032049",
            "telephone_number": "920-301-3907",
            "fax_number": "920-391-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 W MASON ST STE 202",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032049",
            "telephone_number": "920-301-3907",
            "fax_number": "920-391-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "DAQUET",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "PCA467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Recovery-Works Counseling Services, Inc.
• Moitreyee Bandyopadhyay Reddy, M.D.
• Redi Transports
• Jane Redlin, PTA
• Amy Lou Reed, P.T.A.
• John Reed
• Christina L Reek
• Jenna Reetz
• Robert C Reff, PHD
• Terry Rehm, LAT, CSCS

• Home Health Agency in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Home Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.