Individual provider Active NPI

Vicki H Reece, NP

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1902863848
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN069821 Issued in GA
Practice address
140 Lacy St NW
Suite B
Marietta, GA 30060-1114
Phone
(770) 426-4721
Fax
(678) 797-4119
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN069821GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kennestone Heart Physicians Group, PC Past Accepting new patients
Lanier Hospice LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN069821 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

140 Lacy St NW
Suite B
Marietta, GA 30060-1114

Mailing address

140 Lacy St NW
Suite B
Marietta, GA 30060-1114
Phone (770) 426-4721

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
00961089AMedicaidGA
P90594OtherGAUPIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2011.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1902863848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LACY ST NW",
            "address_2": "SUITE B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601114",
            "telephone_number": "770-426-4721",
            "fax_number": "678-797-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LACY ST NW",
            "address_2": "SUITE B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601114",
            "telephone_number": "770-426-4721",
            "fax_number": "678-797-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REECE",
        "first_name": "VICKI",
        "middle_name": "H",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN069821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00961089A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "P90594",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.