Christine J Reid, MS ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

111128 Issued in MA

Practice address

714 Main St
Suite 706a, Bickford Health Associates,PC
Yarmouth Port, MA 02675-2000

Phone

(508) 362-1600

Fax

(508) 362-1616

NPI assigned

Feb 28, 2006

Last updated

Nov 24, 2010By 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 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

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  • NPI 1033265582
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1871569905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 MAIN ST",
            "address_2": "SUITE 706A, BICKFORD HEALTH ASSOCIATES,PC",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752000",
            "telephone_number": "508-362-1600",
            "fax_number": "508-362-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 MAIN ST",
            "address_2": "SUITE 706A, BICKFORD HEALTH ASSOCIATES,PC",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752000",
            "telephone_number": "508-362-1600",
            "fax_number": "508-362-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "CHRISTINE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MS ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "111128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500017371",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0350770",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NP0945",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen A NN Penta, LMHC
• Lisa J Perkins, LICSW
• Lori Pinto
• Marissa Polechronis
• Judith Recknagel, MD
• Meredith Anne Reilly, M. ED., LMHC
• James T. Reimer, MD
• Jose Manuel Reyes, M.D.
• Richard D Marchand Inc
• Merrick Rubinstein

• Adult Health Nurse Practitioner in Yarmouth Port, MA
• Providers in Yarmouth Port, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.