Active NPI
Vicki H Reece, NP
- Family Nurse Practitioner
- Marietta, GA
National Provider Identifier
1902863848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN069821
- 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.
-
- Cardiovascular Disease Physician
- Canton, GA
- NPI 1184864258
-
- Community Based Hospice Care Agency
- Lawrenceville, GA
- NPI 1184123341
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN069821 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN069821 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00961089A | Medicaid | GA | |
| P90594 | Other | GA | UPIN |
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.