Individual provider Active NPI

Hali Jo Reid, NP

  • Family Nurse Practitioner
  • Watertown, NY
National Provider Identifier
1942910674
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F350653-01 Issued in NY
Practice address
20053 Summit View Blvd Ste 1
Watertown, NY 13601-2170
Phone
(315) 755-2560
Fax
(315) 257-6610
NPI assigned
Dec 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F350653-01 NY Primary

Addresses

Primary practice location

20053 Summit View Blvd Ste 1
Watertown, NY 13601-2170

Mailing address

20053 Summit View Blvd Ste 1
Watertown, NY 13601-2170
Phone (315) 755-2560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230117000321 NY Practitioner - Nurse Practitioner 3577934264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Jill M Laureano Surber DO PCGroup PAC ID 9335463405, 5 clinicians

Practice addresses (Care Compare)

20053 Summit View Blvd
Suite 1
Watertown, NY 13601-2170
Phone (315) 755-2560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F350653-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jill M Laureano Surber DO PC CurrentSince Jan 19, 2026 Accepting new patients
Lewis County General Hospital Current Accepting new patients

Locations

7785 N State St
#13282
Lowville, NY 13367
Phone (315) 376-5200

7785 N State St
Ste 210
Lowville, NY 13367
Phone (315) 376-5475

7785 N State St
#120
Lowville, NY 13367
Phone (315) 376-4505

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

20053 Summit View Blvd
Ste 1
Watertown, NY 13601
Phone (315) 755-2560

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1942910674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20053 SUMMIT VIEW BLVD STE 1",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012170",
            "telephone_number": "315-755-2560",
            "fax_number": "315-257-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20053 SUMMIT VIEW BLVD STE 1",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012170",
            "telephone_number": "315-755-2560",
            "fax_number": "315-257-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "HALI",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-05",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F350653-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.