Active NPI
Hali Jo Reid, NP
- Family Nurse Practitioner
- Watertown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F350653-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| F350653-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jill M Laureano Surber DO PC | Current | 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.
-
dba Family Medicine of Northern New York
- Family Medicine Physician
- Watertown, NY
- NPI 1992112387
-
- Surgery Physician
- Lowville, NY
- NPI 1659433217
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lewis County General Hospital
- Rural Acute Care Hospital
- Lowville, NY
- NPI 1487689402
-
- Critical Access Hospital
- Lowville, NY
- NPI 1619390838
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.