Katherine Reid, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5019246 Issued in NC

Practice address

10430 Park Rd Ste 100a
Charlotte, NC 28210-8541

Phone

(704) 259-7673

NPI assigned

Dec 7, 2023

Last updated

Dec 7, 2023By the provider in NPPES

Sex

Female

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

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Ivx Health of North Carolina, P.C.

  dba IVX Health

  • Clinic/Center
  • Matthews, NC
  • NPI 1376290239
  Medicare reassignment NPD
• Southeast North Carolina Seven Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1578221370
  NPD (past)

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1902673270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 PARK RD STE 100A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 PARK RD STE 100A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108541",
            "telephone_number": "704-259-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5019246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan J. Reid, PA
• Alison Johnston Reid, NP
• Angela Marie Reid, LCSW
• Gregory Arthur Reid Jr.
• Jessica Rodriquez Reid
• Latashia Reid
• Lynn Anderson Reid, PA
• Mary E Reid
• Maurice S Reid
• Sandra Bradley Reid

• Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.