Tristan Reed, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0027263 Issued in OH

Practice address

340 S Broadway St
Akron, OH 44308-1529

Phone

(330) 253-3100

NPI assigned

May 19, 2016

Last updated

Oct 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Tristan Lawrence Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Kent State University College of Podiatric Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CNP Operating Co LLCGroup PAC ID 8325263734, 63 clinicians

Lifecare Family Health and Dental Center, Inc.Group PAC ID 7315959483, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Lifecare Family Health and Dental Center, Inc

  dba Canton Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Canton, OH
  • NPI 1013964923
  Medicare reassignment Care Compare group NPD
• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739

  OH

  Medicare reassignment Care Compare group NPD
• Life Anew Behavioral Health, Inc

  • Community/Behavioral Health Agency
  • Euclid, OH
  • NPI 1407474208
  Medicare reassignment NPD
• Guiding Paths

  • Community Health Clinic/Center
  • Canton, OH
  • NPI 1053067595
  NPD Authorized official
• Coleman Professional Services, Inc.

  • Mental Health Counselor
  • Kent, OH
  • NPI 1982637633
  Medicare reassignment
• Lifecare Family Health and Dental Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Massillon, OH
  • NPI 1134959000
  NPD
• Lifecare Family Health and Dental Center, Inc

  dba Canton Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Canton, OH
  • NPI 1851592034
  NPD

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1942657945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S BROADWAY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081529",
            "telephone_number": "330-253-3100",
            "fax_number": "330-253-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S BROADWAY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081529",
            "telephone_number": "330-253-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Cross St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443111026",
            "country_code": "US",
            "telephone_number": "330-996-9141",
            "fax_number": "330-253-0377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "TRISTAN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0027263",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.403716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISTAN",
            "last_name": "LAWRENCE",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Reed
• Robert Kyle Reed, DC
• Samantha Brooke Reed
• Ta Tenesha L Reed
• Taijanae Reed
• Glenn L. Reeder, RPH
• Stephen Dale Rees
• Deborah Reese
• Jessica Rose Reese, CDCA
• Meredith A Reese, CDCA

• Psychiatric/Mental Health Nurse Practitioner in Akron, OH
• Providers in Akron, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.