JENNIFER T REID (NPI# 1831754738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831754738 |
| Entity Type | Individual |
| Full Name | JENNIFER T REID |
| Credential | NP |
| Practice Address |
1348 Walton Way Ste 5700 Augusta GA 30901-5110 |
| Practice Telephone | 7067747022 |
| Practice Fax Number | 7067747023 |
| Mailing Telephone | 7068546008 |
| Mailing Fax Number | 7067747230 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
195498 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1350 Walton Way, Augusta, GA 309012612 | 7067747169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094894 | Jennifer Reid | Counselor | 1 Mckayla Dr, New Milford, CT 06776-4666 | 2020-02-05 |
| 1811411366 | Jennifer Reid | Licensed Practical Nurse | 23804 Hwy 99 W, Junction City, OR 97448-9201 | 2017-07-26 |
| 1255783684 | Jennifer Reid | Technician, Other | 1316 Cristina Dr, Fenton, MI 48430-9637 | 2016-07-09 |
| 1285826917 | Jennifer Reid | Social Worker | 640 E Broadway, Jackson, WY 83001 | 2007-08-16 |
| 1790906444 | Jennifer Reid | Social Worker | 151 N Rock Island St Apt 1f, Wichita, KS 67202-2771 | 2007-05-01 |
| 1104045848 | Jennifer Elseta Reid | Nurse Practitioner | 396 Chestnut Ridge Rd, Rochester, NY 14624-4329 | 2007-04-24 |
| 1780724393 | Jennifer Carole Reid | Naturopath | 27530 Se Division Dr, Gresham, OR 97030-8214 | 2007-02-06 |
| 1356437016 | Jennifer J Reid | Registered Nurse | 60 Remick Blvd # 60, Springboro, OH 45066-9168 | 2006-10-04 |
| 1851374599 | Jennifer Brooke Reid | Physician Assistant | 3201 Palmer Hwy, Texas City, TX 77590-6723 | 2005-11-28 |
| 1770192700 | Jennifer Taylor Reid | Nurse Practitioner | 205 Page Rd, Pinehurst, NC 28374-8798 | 2020-07-27 |
| Street Address |
1348 WALTON WAY STE 5700 |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-5110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321915 | Anthony Dhiantie Goei | Radiology | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2005-10-25 |
| 1477090900 | Renee Fritz | Physician Assistant | 1348 Walton Way Ste 5700, Augusta, GA 30901 | 2017-01-23 |
| 1952765018 | Rebekah Scout Sanders | Nurse Practitioner | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2016-04-05 |
| 1770835522 | Justin Michael Croft | Physician Assistant | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2012-10-03 |
| 1649534314 | Julyn Kendra Burton | Nurse Practitioner | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2012-06-27 |
| 1780944538 | Tamara Lynn Wyscaver Dirven | Nurse Practitioner | 1348 Walton Way Ste 5700, Augusta, GA 30901 | 2012-05-25 |
| 1154579605 | Christopher Ellington | Surgery | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2008-09-08 |
| 1407036585 | Bradley Earnest Carr | Technician, Other | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2007-11-06 |
| 1609815729 | William Clifford Kitchens | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1348 Walton Way Ste 5700, Augusta, GA 30901-5110 | 2006-06-05 |
| 1285691113 | John Salvatore Anastasi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1348 Walton Way Ste 5700, Augusta, GA 30901 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1588262372 | Taylor Safford | Nurse Practitioner | 1348 Walton Way Ste 4100, Augusta, GA 30901-5107 | 2020-10-13 |
| 1831719269 | Tanaysa Green | Nurse Practitioner | 1702 Holly Hill Rd, Augusta, GA 30904-5050 | 2020-04-27 |
| 1699395749 | Mary Elizabeth Dalis | Nurse Practitioner | 1025 Redbird Rd, Augusta, GA 30904-3181 | 2020-04-18 |
| 1316585185 | Rebecca Williford | Nurse Practitioner | 1220 George C Wilson Dr, Augusta, GA 30909-4501 | 2019-12-12 |
| 1699322370 | Ashley Staten | Nurse Practitioner | 2739 Huntcliffe Dr, Augusta, GA 30909-0662 | 2019-08-19 |
| 1053978205 | Keneka V Allen | Nurse Practitioner | 6229 Key West Dr, Augusta, GA 30909-6745 | 2019-05-23 |
| 1487210589 | Jason Schunk | Nurse Practitioner | S7645 Morning Crest Dr, Augusta, WI 54722-7579 | 2019-05-14 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1174097190 | Yuri Kang | Nurse Practitioner | Augusta University Medical Center 1120 15th Street, Augusta, GA 30912-0359 | 2019-01-12 |
| Find all providers in AUGUSTA | ||||
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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.