JENNY MARIE REID (NPI# 1629600432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629600432 |
Entity Type | Individual |
Full Name | JENNY MARIE REID |
Other Name | JENNY KIRKLAND REID |
Credential | PMHNP |
Practice Address |
3120 N Oak Street Ext Ste B Valdosta GA 31602-5910 |
Mailing Address |
Po Box 5721 Valdosta GA 31603-5721 |
Practice Telephone | 2296716164 |
Enumeration Date | 2020-02-10 |
Last Update Date | 2020-02-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
128376 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497157333 | Jenny Reid | Case Manager/Care Coordinator | 3132 Jefferson St, San Diego, CA 92110-4421 | 2014-09-23 |
1447555073 | Jenny E Reid | Nurse Practitioner | 2325 Garfield Rd N, Traverse City, MI 49686-5178 | 2011-01-12 |
1649449018 | Jenny Jackson Reid | Nurse Practitioner | 364 Honeysuckle Rd, Dothan, AL 36305-1140 | 2008-02-29 |
Street Address |
3120 N OAK STREET EXT STE B |
City | VALDOSTA |
State | GA |
Zip Code | 31602-5910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982786224 | Paresh Thanki | Psychiatry & Neurology | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2006-10-19 |
1164038535 | Emily Crawford | Marriage & Family Therapist | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2020-09-21 |
1871103192 | Lori Allison Keith | Social Worker | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2020-08-01 |
1962020958 | Kaitlyn Floyd | Marriage & Family Therapist | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2020-07-07 |
1902367824 | Maria Guadalupe Castaneda | Social Worker | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2019-03-26 |
1578020616 | Jorden Linsey Milne | Social Worker | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2019-02-25 |
1174099535 | Holly Elizabeth Jones | Counselor | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2018-10-23 |
1194291625 | Andrew J Courson | Counselor | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2018-10-23 |
1205333424 | Shelby Lane Elder | Nurse Practitioner | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2018-04-13 |
1679089320 | Mallory M Sims | Marriage & Family Therapist | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2017-12-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
Find all providers in zip 31602 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205333424 | Shelby Lane Elder | Nurse Practitioner | 3120 N Oak Street Ext Ste B, Valdosta, GA 31602-5910 | 2018-04-13 |
1154878866 | Daniel Haney | Nurse Practitioner | 2704 N Oak St, Suite B-3, Valdosta, GA 31602-1744 | 2016-09-10 |
1083071898 | Julene Dorothy Smith | Nurse Practitioner | 2209 Pineview Dr, Valdosta, GA 31602-7316 | 2016-01-25 |
1174523005 | Judy Bickers | Nurse Practitioner | 3541 N Crossing Cir, Valdosta, GA 31602-1019 | 2005-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336740398 | Audline Maria Hodnett | Nurse Practitioner | 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 | 2020-11-05 |
1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
1356958060 | Earl Delk | Nurse Practitioner | 3365 Ridgerock Way, Snellville, GA 30078-4176 | 2020-09-26 |
1609482991 | Tammy Haskins Bailey | Nurse Practitioner | 196 Laying Farm Rd Se, Milledgeville, GA 31061-9714 | 2020-09-22 |
1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
1376156364 | Katrina Ransom Clark | Nurse Practitioner | 120 Walker Dr Nw, Milledgeville, GA 31061-9561 | 2020-08-28 |
1457963746 | Evelyn Ahiante Dennis | Nurse Practitioner | 3325 Emden Ct, Snellville, GA 30039-6047 | 2020-08-19 |
1194335620 | Jennifer Logan | Nurse Practitioner | 424 Scotts Way, Augusta, GA 30909-3135 | 2020-08-10 |
1750991592 | Jamie Rae Mccracken | Nurse Practitioner | 2538 Gordon Cir Se, Smyrna, GA 30080-8123 | 2020-08-06 |
1285244608 | Amcare Substance Abuse and Addiction Counseling | Nurse Practitioner | 3615 Hutchinson Rd Ste 203, Cumming, GA 30040-0501 | 2020-08-01 |
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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.