KATELYN MARIE REED (NPI# 1568939684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568939684 |
| Entity Type | Individual |
| Full Name | KATELYN MARIE REED |
| Other Name | KATELYN MARIE MILLER |
| Credential | NP-C |
| Practice Address |
415 N 9th St Ste 4w64 Springfield IL 62702-5303 |
| Mailing Address |
Po Box 19658 Springfield IL 62794-9658 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2177576654 |
| Mailing Telephone | 2175458000 |
| Mailing Fax Number | 2177576654 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
041-436706 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174951768 | Katelyn Marie Reed | Psychologist | 10327 Grand River Rd, Suite 406, Brighton, MI 48116-6500 | 2013-10-17 |
| 1982221511 | Katelyn Virginia Reed | Case Manager/Care Coordinator | 4342 Gallia St Ste A, New Boston, OH 45662-5563 | 2020-06-30 |
| 1932608387 | Katelyn R Reed | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-02-12 |
| Street Address |
415 N 9TH ST STE 4W64 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255813218 | Michelle Christine Bollinger | Nurse Practitioner | 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 | 2018-09-05 |
| 1497205041 | Monica Hehir | Nurse Practitioner | 190 W Sproul Rd Ste 208, Springfield, PA 19064-2027 | 2016-10-06 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1023369774 | Elyssa N Rapier | Nurse Practitioner | 1901 S Ventura Ave, Suite B, Springfield, MO 65804-2700 | 2012-09-20 |
| 1033285192 | Kay Ann Froemming | Nurse Practitioner | 225 Q St, Springfield, OR 97477 | 2006-11-28 |
| 1982787115 | Christine Plumb | Nurse Practitioner | 280 Tinkham Rd, Springfield, MA 01129-1935 | 2006-10-23 |
| 1053429761 | Kimberly Jean Andrews | Nurse Practitioner | 1965 S Fremont, Ste 260, Springfield, MO 65804-2257 | 2006-08-25 |
| 1649249566 | Sherry M Dailey | Nurse Practitioner | 2073 Olympic Street, Riverstone Clinic, Springfield, OR 97477-3413 | 2006-03-14 |
| 1518941004 | Connie J Vargas | Nurse Practitioner | 471 Northcrest Dr, Springfield, TN 37172-3973 | 2005-11-30 |
| 1013907179 | Jodi Ripka | Nurse Practitioner | 299 Carew St, Ste 210, Pediatric Care Associates, P.C., Springfield, MA 01104 | 2005-10-28 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on KATELYN MARIE REED.
| 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.