CARLA REED (NPI# 1083168785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083168785 |
| Entity Type | Individual |
| Full Name | CARLA REED |
| Credential | FNP-BC |
| Practice Address |
148 S Main St Liberal MO 64762 |
| Mailing Address |
Po Box 13 Liberal MO 64762-0013 |
| Practice Telephone | 4178432008 |
| Practice Fax Number | 4178432009 |
| Mailing Telephone | 4178432008 |
| Mailing Fax Number | 4178432009 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2018-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
2003003569 | MO | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2016027443 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | GROUP NPI | 1215436696 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518226802 | Carla Denise Reed | Physician Assistant | 21638 Tomball Pkwy Ste E, Houston, TX 77070-1891 | 2012-05-08 |
| 1265410237 | Carla Oswald Reed | Physical Therapist | 46218 Allsbrook Pl, Sterling, VA 20165-7307 | 2006-01-09 |
| Street Address |
148 S MAIN ST |
| City | LIBERAL |
| State | MO |
| Zip Code | 64762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276924 | Robert R Jones | Family Medicine | 148 S Main St, Liberal, MO 64762-9314 | 2005-06-22 |
| 1407913833 | Judy M Parton | Family Medicine | 148 S Main St, Liberal, MO 64762-9314 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215436696 | Family Health and Wellness Clinic, LLC | Family Medicine | 148 S Main, Liberal, MO 64762-0000 | 2018-02-12 |
| 1053882563 | Regional Services | Nurse Practitioner | 205 N Payne St, Liberal, MO 64762-9263 | 2018-12-10 |
| 1902003114 | Denise Elaine Dickens | Counselor | 125 S Main St, Liberal, MO 64762-9313 | 2007-06-29 |
| 1982903563 | Inez Shields LLC | Counselor | 130 S Main St, Liberal, MO 64762-9314 | 2011-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931374 | Justin Morton | Non-emergency Medical Transport (VAN) | 1002 S Washington Ave, Liberal, KS 67901-4604 | 2020-10-28 |
| 1649885294 | K&t LLC | Technician/Technologist | 412 N Kansas Ave, Liberal, KS 67901-3330 | 2020-09-10 |
| 1073124921 | St. Catherine Hospital | Obstetrics & Gynecology | 2132 N Kansas Ave Ste C, Liberal, KS 67901-2099 | 2020-08-13 |
| 1871101162 | Whitaker Fitness Corporation | Clinic/Center | 1530 N Western Ave, Liberal, KS 67901-2167 | 2020-07-22 |
| 1639787906 | Lonnie Whitaker | Dietary Manager | 1530 N Western Ave Apt 115, Liberal, KS 67901-2167 | 2020-07-22 |
| 1679181176 | Susan N Lukwago | Dietitian, Registered | 1330 N Cain Ave, Liberal, KS 67901-2317 | 2020-07-21 |
| 1740803576 | Emmanuel Garcia | Student in an Organized Health Care Education/Training Program | 2460 Ridge Rd, Liberal, KS 67901-2026 | 2020-05-27 |
| 1184269250 | Emanuel Fernando Serrano | Specialist/Technologist | 121 W Spruce St, Liberal, KS 67901-4043 | 2019-11-13 |
| 1992358378 | Lacy Smith | Nurse Practitioner | 504 N Kansas Ave Ste B1, Liberal, KS 67901-3346 | 2019-07-24 |
| 1104325216 | Victoria Rachel Underwood | Nurse Practitioner | 305 W 15th St Ste 104, Liberal, KS 67901-2455 | 2018-02-03 |
| Find all providers in LIBERAL | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992358378 | Lacy Smith | Nurse Practitioner | 504 N Kansas Ave Ste B1, Liberal, KS 67901-3346 | 2019-07-24 |
| 1053882563 | Regional Services | Nurse Practitioner | 205 N Payne St, Liberal, MO 64762-9263 | 2018-12-10 |
| 1104325216 | Victoria Rachel Underwood | Nurse Practitioner | 305 W 15th St Ste 104, Liberal, KS 67901-2455 | 2018-02-03 |
| 1427117522 | Heidi Riley | Nurse Practitioner | 1411 W 15th St Ste 102, Liberal, KS 67901-2285 | 2006-12-06 |
| 1215571344 | Elizabeth Mercado | Nurse Practitioner | 502 N Kansas Ave, Liberal, KS 67901-3304 | 2019-10-31 |
| 1891245205 | Olga Margarita Beyna | Nurse Practitioner | 2132 N Kansas Ave Ste B, Liberal, KS 67901-2099 | 2016-10-10 |
| 1710370697 | Jennifer Lynn Antrim | Nurse Practitioner | 305 W 15th St, Suite 103, Liberal, KS 67901-2455 | 2015-03-16 |
| 1841621679 | Southwest Family Medicine LLC | Nurse Practitioner | 102 E 11th St, Liberal, KS 67901-2784 | 2013-12-04 |
| 1841632445 | Juvy Rea Jabel | Nurse Practitioner | 102 E 11th St, Liberal, KS 67901-2784 | 2013-07-23 |
| 1184907784 | Linsey Kay Carter | Nurse Practitioner | 555 W 15th St, Suite A, Liberal, KS 67901-2467 | 2011-09-21 |
| Find all providers in LIBERAL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.