Individual provider Active NPI

Jennifer Reed, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Prairie Village, KS
National Provider Identifier
1891095741
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
75242 Issued in KS
Practice address
8016 State Line Rd Ste 205
Prairie Village, KS 66208-3713
Phone
(913) 653-0600
NPI assigned
Oct 26, 2010
Last updated
May 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 75242 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 75242 KS Primary

Addresses

Primary practice location

8016 State Line Rd Ste 205
Prairie Village, KS 66208-3713

Mailing address

8016 State Line Rd Ste 205
Prairie Village, KS 66208-3713
Phone (913) 653-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101117000199 KS Practitioner - Nurse Practitioner 5092900993 Practice locations: Prairie Village, KS
I20120514000116 MO Practitioner - Nurse Practitioner 5092900993 Practice locations: Kansas City, MO; Liberty, MO; Independence, MO

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8016 State Line Rd
Prairie Village, KS 66208-3713
Phone (816) 508-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
75242KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cloverleaf Counseling LLC PastSince Nov 1, 2019 Accepting new patients
Jennifer Reed NP PastSince Oct 30, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.reed.p1@direct.schcmed.nextgenshare.com
  • Direct secure messaging: roger.kirkwood.p1@direct.schcmed.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1891095741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8016 STATE LINE RD STE 205",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083713",
            "telephone_number": "913-653-0600",
            "fax_number": "913-788-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8016 STATE LINE RD STE 205",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083713",
            "telephone_number": "913-653-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "75242",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "75242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

Verify at the official NPI Registry.