MRS. MARTHA KELLY WALDREP REEVES


Address: 486 Sw Rutledge St, Madison, FL 32340-1978
Phone: 8509738851

MRS. MARTHA KELLY WALDREP REEVES (NPI# 1801371430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801371430
Entity Type Individual
Full Name MRS. MARTHA KELLY WALDREP REEVES
Credential ARNP
Practice Address 486 Sw Rutledge St
Madison
FL 32340-1978
Mailing Address 1449 Nw Little Cat Rd
Madison
FL 32340-4260
Practice Telephone 8509738851
Mailing Telephone 9045372298
Enumeration Date 2018-09-29
Last Update Date 2018-09-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9280528 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL ARNP LICENSE ARNP9280528 01

Other Providers MARTHA REEVES

NPI Name Taxonomy Address Enumeration
1790062941 Martha Christine Reeves Speech-Language Pathologist 300 Sunset Dr, Dayton, VA 22821-9229 2011-11-15
1851495923 Martha Reeves Social Worker Anna Marsh Lane, Brattleboro, VT 05302 2006-09-11

Office Location

Street Address 486 SW RUTLEDGE ST
City MADISON
State FL
Zip Code 32340-1978

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124087556 Daniel B Perkins Family Medicine 486 Sw Rutledge St, Madison, FL 32340-1978 2006-03-23
1790919348 Michele B Richardson Nurse Practitioner 486 Sw Rutledge St, Madison, FL 32340-1978 2009-05-12
1730127044 Rachael E Sapp Nurse Practitioner 486 Sw Rutledge St, Madison, FL 32340-1978 2006-06-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376016980 Annie Laura Dyke Registered Nurse 213 Sw Third Ave, Madison, FL 32340 2019-01-07
1730698051 Judith Khristian Sever-johnson Registered Nurse 218 Sw Third Avenue, Madison, FL 32340 2017-09-29
1265800437 Maria Anchondo Dentist Ave. De La Raza #4722, Suite 3, Juarez, CHIHUAHUA 32340 2015-09-04
1508106063 Family First Wellness Clinic, LLC Family Medicine 486 Sw Rutledge Street, Madison, FL 32340 2013-02-20
1306032073 North Florida Pharmacy of Madison Inc. Durable Medical Equipment & Medical Supplies 139 Sw Macon St, Madison, FL 32340 2007-09-17
1295949444 Roderick K Shaw IIi Dmd Pa Dentist 255 Ne Duval Ave, Madison, FL 32340 2007-05-09
1124159728 Duramed Medical Services Physiological Laboratory 289 Sw Range Ave, Ste D, Madison, FL 32340 2007-03-08
1861595514 Holiday Cvs LLC Durable Medical Equipment & Medical Supplies 407 East Base St, Madison, FL 32340 2006-09-07
1194701862 Mos LLC Nurse Practitioner 256 Sw Washington Ave, Madison, FL 32340 2005-12-15
1699248203 Katelynn Mae Croft Licensed Practical Nurse 213 Sw Third Ave, Madison, FL 32340 2019-01-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1265075626 Maria Rachuonyo Nurse Practitioner 165 Chestnut Dr, Madison, AL 35758-9524 2019-10-17
1548821333 Sumner B Douglas Nurse Practitioner 401 Baptist Dr Ste 1040, Madison, MS 39110-2009 2019-06-24
1942865365 Marta Cooper Nurse Practitioner 579 Donofrio Dr Ste 1, Madison, WI 53719-2838 2019-05-02
1215490024 Angela Wiggins Nurse Practitioner 1210 Briarville Rd Bldg B, Madison, TN 37115-5136 2019-04-09
1124585419 Melissa Kay Albright Nurse Practitioner 44 Hughes Rd Ste 2500, Madison, AL 35758-3026 2019-02-22
1912475393 Katlynn Ann Kelley Nurse Practitioner 20 S Park St Rm M417, Madison, WI 53715-1348 2018-11-05
1053887943 Denita Ward Nurse Practitioner 2145 Fox Ave, Madison, WI 53711-1920 2018-10-17
1992203079 Brandy J Smith Nurse Practitioner 703 Green Rd Ste 1, Madison, IN 47250-2145 2018-01-24
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Competitor

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City MADISON
Zip Code 32340

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Dataset Information

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.

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