Individual provider Active NPI

Stephanie Y Reid, FNP-C

  • Nurse Practitioner
  • New Bern, NC
National Provider Identifier
1942837521
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
225764 Issued in NC
Practice address
2818 Neuse Blvd
New Bern, NC 28562-2850
Phone
(252) 636-4920
NPI assigned
Mar 24, 2020
Last updated
Mar 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 225764 NC Primary

Addresses

Primary practice location

2818 Neuse Blvd
New Bern, NC 28562-2850

Mailing address

2324 Peppertree Rd
La Grange, NC 28551-9785
Phone (252) 526-1810

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210714002004 NC Practitioner - Nurse Practitioner 2961804802 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
225764NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Craven County CurrentSince Apr 9, 2021 Accepting new patients
Craven County CurrentSince Apr 9, 2021 Accepting new patients

Locations

2818 Neuse Blvd
New Bern, NC 28562
Phone (252) 636-4920

2818 Neuse Blvd
Ste 1
New Bern, NC 28562
Phone (252) 636-4920

Interoperability endpoints

  • Direct secure messaging: sreid@cchd.curemd.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1942837521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 PEPPERTREE RD",
            "city": "LA GRANGE",
            "state": "NC",
            "postal_code": "285519785",
            "telephone_number": "252-526-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622850",
            "telephone_number": "252-636-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "STEPHANIE",
        "middle_name": "Y",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "225764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.