Individual provider Active NPI

Tanya Reid, LPN

  • Licensed Practical Nurse
  • Huntersville, NC
National Provider Identifier
1942971486
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
66313 Issued in NC
Practice address
16507A Northcross Dr Ste 108
Huntersville, NC 28078-5081
Phone
(980) 585-6531
NPI assigned
Sep 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 66313 NC Primary

Addresses

Primary practice location

16507A Northcross Dr Ste 108
Huntersville, NC 28078-5081

Mailing address

16507A Northcross Dr Ste 108
Huntersville, NC 28078-5081
Phone (980) 585-6531

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Huntersville Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
66313NCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Lab Solutions, LLC CurrentSince May 21, 2023 Accepting new patients

Locations

10130 Mallard Creek Rd
Ste 300
Charlotte, NC 28262
Phone (704) 944-3533

16507 Northcross Dr
Ste 108
Huntersville, NC 28078
Phone (704) 282-8976

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1942971486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16507A NORTHCROSS DR STE 108",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785081",
            "telephone_number": "980-585-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16507A NORTHCROSS DR STE 108",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785081",
            "telephone_number": "980-585-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "TANYA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "66313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Huntersville",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16507A Northcross Dr Ste 108",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280785081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.