JACQUELINE YVETTE REID (NPI# 1578181780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578181780 |
| Entity Type | Individual |
| Full Name | JACQUELINE YVETTE REID |
| Practice Address |
2924 Walnut Grove Rd Ste 4 Memphis TN 38111-2719 |
| Mailing Address |
2639 Central Ave Apt T1 Memphis TN 38104-5953 |
| Practice Telephone | 9012099792 |
| Mailing Telephone | 9014383900 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462328 | Jacqueline Reid | Driver | 453 Greenvale Rd, South Euclid, OH 44121-2310 | 2020-09-16 |
| 1912479619 | Jacqueline Reid | Counselor | 59 Elm St, New Rochelle, NY 10805-2402 | 2018-12-19 |
| 1326577529 | Jacqueline Kay Reid | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2017-06-09 |
| 1619416971 | Jacqueline A Reid | Respiratory Therapist, Certified | 1501 Riverside Dr, Suite 350, Chattanooga, TN 37406-4309 | 2017-02-20 |
| 1760731723 | Jacqueline R Reid | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2428 | 2012-09-06 |
| 1396953840 | Jacqueline Susan Reid | Dentist | 390 Main St, Chatham, NJ 07928-2112 | 2007-05-18 |
| Street Address |
2924 WALNUT GROVE RD STE 4 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38111-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168035 | Meghan Weakley Pace | Occupational Therapist | 177 North Highlanld Ave, Memphis, TN 38111 | 2019-01-23 |
| 1386130466 | Christopher Cory Wilbanks | Nurse Practitioner | 3445 Poplar Ave Ste 18, Memphis, TN 38111 | 2018-07-02 |
| 1124523287 | Hands of Health and Rehab | Clinic/Center | 80 N. Tillman St. Ste. 104, Memphis, TN 38111 | 2018-03-29 |
| 1659889889 | Jarod Lenahan | Specialist/Technologist | 1115 East Getwell Loop St, Memphis, TN 38111 | 2018-01-22 |
| 1831645100 | Bobby Winbush | Residential Treatment Facility, Emotionally Disturbed Children | 1167 Parkland Rd, Memphis, TN 38111 | 2016-08-28 |
| 1356797427 | Shilo Satran | Counselor | 208 Waynoka Lane, Memphis, TN 38111 | 2016-05-09 |
| 1346580552 | Bianca Branch | Psychologist | 4166 W Bufford Ellington Dr, Memphis, TN 38111 | 2013-02-25 |
| 1043563935 | Midsouth Vision Center | Optometrist | 3314 Poplar Ave Ste#1, Memphis, TN 38111 | 2012-10-17 |
| 1235407750 | Demetria Nicole Rogers | Pharmacist | 3515 Park Avenue, Memphis, TN 38111 | 2011-12-12 |
| 1326335647 | Jason Thomas Sasser | Nurse Practitioner | 3444 Plaza Ave., The Little Clinic, Memphis, TN 38111 | 2011-07-07 |
| Find all providers in zip 38111 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748854 | Kristen Hoover | Counselor | 4515 Poplar Ave Ste 305, Memphis, TN 38117-7507 | 2020-10-26 |
| 1609473966 | Ashley N. Thomas | Counselor | 4189 Robert Everett Cv Apt 2, Memphis, TN 38111-7437 | 2020-10-08 |
| 1952918617 | Kate Mallory | Counselor | 240 Madison Ave Ste 601, Memphis, TN 38103-2770 | 2020-09-28 |
| 1174134597 | James Rogers | Counselor | 100 Ball Hall, Memphis, TN 38152-3502 | 2020-08-10 |
| 1952911455 | Brianna Amaba | Counselor | 3675 Alumni Ave, Memphis, TN 38152-0001 | 2020-08-09 |
| 1164032645 | Lauren Taylor Riddick | Counselor | 1957 Jefferson Ave, Memphis, TN 38104-2705 | 2020-08-09 |
| 1063022671 | Sedaria L Williams | Counselor | 1242 Woodbury St, Memphis, TN 38111-3944 | 2020-08-07 |
| 1437768264 | Rebecca Mclaurin Maddux | Counselor | 4937 William Arnold Rd, Memphis, TN 38117-4237 | 2020-07-28 |
| 1225653876 | Michelle Leigh Cooper | Counselor | 1255 Lynnfield St Ste 232, Memphis, TN 38119-5185 | 2020-06-09 |
| 1174165047 | Kirsten Cannon | Counselor | 895 S Cooper St Ste 123and6, Memphis, TN 38104-5604 | 2019-10-11 |
| Find all providers in MEMPHIS | ||||
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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.