Active NPI
Catharine Davis Reed, M.D.
- Pediatrics Physician
- Eden Prairie, MN
National Provider Identifier
1942273867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 33051
- Practice address
- 6452 City West Pkwy
Eden Prairie, MN 55344-3245 - Phone
- (599) 999-0333
- NPI assigned
- Feb 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 33051 | NC | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 33051 | MN | |
| Pediatrics Physician | 208000000X | 33051 | MN | Primary |
Addresses
Primary practice location
6452 City West Pkwy
Eden Prairie, MN 55344-3245
Mailing address
6452 City West Pkwy
Eden Prairie, MN 55344-3245
Phone (599) 999-0333
Other practice location 1
17705 Hutchins Dr
Suite 101
Minnetonka, MN 55345-4145
Phone (952) 401-8300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18G38RE | Other | MN | BLUE CROSS |
| 1207870 | Other | MN | MEDICA |
| 881313200 | Medicaid | MN | |
| CP9041015865 | Other | MN | PREFERRED ONE |
| 121288 | Other | MN | UCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33051 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Kingdom Pediatrics LLC | Current | Accepting new patients | |
| South Lake Clinic, P.a. | Pediatrics | Past | Accepting new patients |
| Lifeway Health & Wellness LLC | Past | Accepting new patients |
Locations
6452 City West Pkwy
Eden Prairie, MN 55344
Phone (952) 999-0333
Organizations & group practices 3
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.
-
- Clinic/Center
- Eden Prairie, MN
- NPI 1760816045
-
- Primary Care Clinic/Center
- Maple Grove, MN
- NPI 1598443723
-
- Pediatrics Physician
- Minnetonka, MN
- NPI 1427027184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1942273867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6452 CITY WEST PKWY",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443245",
"telephone_number": "599-999-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6452 CITY WEST PKWY",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443245",
"telephone_number": "599-999-0333"
}
],
"practiceLocations": [
{
"address_1": "17705 Hutchins Dr",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Minnetonka",
"state": "MN",
"postal_code": "553454145",
"country_code": "US",
"telephone_number": "952-401-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REED",
"first_name": "CATHARINE",
"middle_name": "DAVIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "33051",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MN",
"license": "33051",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "33051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "18G38RE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1207870",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "881313200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "CP9041015865",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "121288",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.