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KATHY DIANE REID APRN,BC
NPI 1174525042
Nurse Practitioner - Gerontology in Traverse City, MI

Active since August 11, 2005
1000 PAVILLIONS CIR, TRAVERSE CITY, MI 49684(231) 932-3801(231) 421-3789 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathy Diane Reid Aprn,bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHY DIANE REID APRN,BC (NPI 1174525042) is an individual gerontology provider in Traverse City, Michigan, licensed in Michigan (4704133106) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1174525042
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKATHY DIANE REIDCredential: APRN,BC
Location Address1000 PAVILLIONS CIRTraverse City, MI 49684-3198
Mailing Address10850 E Traverse HwyTraverse City, MI 49684-1364 · (231) 346-6930 · Fax (231) 346-6017
Phone(231) 932-3801
Fax(231) 421-3789
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateOctober 28, 2015
✔ NPI 1174525042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MI · 4704133106
1000 PAVILLIONS CIR, Traverse City, MI 49684
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Other Identifiers 2

Medicaid4570969MI
Medicare UPINS72224MI

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%176 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARRIET SUE BARNER NP
Nurse Practitioner
1000 PAVILLIONS CIR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 932-3000
HANNAH SCHWEIKART
Occupational Therapist
1000 PAVILLIONS CIR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 932-3000
MRS. NICOLE LYNN DEWEY OT
Occupational Therapist
1000 PAVILLIONS CIR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 932-3000
JENNIFER BALOGH
Occupational Therapist
1000 PAVILLIONS CIR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 932-3000
JACQUELINE MICHELE AICHER M.S., CCC-SLP
Speech-Language Pathologist
1000 PAVILLIONS CIR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 932-3000
DAWN LOUISE BROWN AGANP
Nurse Practitioner (Gerontology)
1000 PAVILLIONS CIR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 932-3000
MICHAEL NEWBERRY OTR/L
Occupational Therapist
1000 PAVILLIONS CIR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 932-3000
AMY CONESET PT
Physical Therapist
1000 PAVILLIONS CIR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 932-3016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathy Reid's NPI number?

The NPI number for Kathy Reid is 1174525042. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Kathy Reid located?

Kathy Reid practices at 1000 Pavillions Cir, Traverse City, MI 49684. The listed phone number is (231) 932-3801.

What is Kathy Reid's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Kathy Reid was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.