Jennifer Redd, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD2017-0668 Issued in NM

Practice address

400 State Road 30
Espanola, NM 87532-8208

Phone

(505) 753-9421

NPI assigned

Apr 4, 2014

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 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Santa Fe Indian HospitalGroup PAC ID 7719883289, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presbyterian Espanola Hospital Hospital, Espanola, NM, CCN 320011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Santa Fe Indian Hospital

  dba Santa Fe Indian Health Center

  • Federal Public Health Clinic/Center
  • Santa Fe, NM
  • NPI 1285613836

  TX

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Presbyterian Healthcare Services

  dba Espanola Hospital

  • Rural Acute Care Hospital
  • Espanola, NM
  • NPI 1154307593
  Care Compare affiliation

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1891113049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STATE ROAD 30",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875328208",
            "telephone_number": "505-753-9421",
            "fax_number": "505-753-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STATE ROAD 30",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875328208",
            "telephone_number": "505-753-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDD",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2017-0668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD2017-0668",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esperanza Quintana
• Quintanas Fairview Pharmacy Inc (Fairview Pharmacy)
• R-Way LLC
• Herbert V Rachelson, MD
• Sheri Anne Raphaelson, L.M.
• Michael S Redman, D.M.D.
• Carey Michael Reed, APN
• Storm L Reilly
• Tanya P. Reyes, M.D.
• John L Rich, LPCC

• Family Medicine Physician in Espanola, NM
• Providers in Espanola, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.