Provider Demographics
NPI:1720027287
Name:REED, KRISTY D (ANP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:D
Last Name:REED
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:KRISTY
Other - Middle Name:D
Other - Last Name:COVELESKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:PO BOX 17559
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4070
Mailing Address - Country:US
Mailing Address - Phone:609-303-4000
Mailing Address - Fax:609-528-9151
Practice Address - Street 1:1 CAPITAL WAY
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534
Practice Address - Country:US
Practice Address - Phone:609-537-7223
Practice Address - Fax:609-656-8845
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00051800363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0311677Medicaid
NJ080813Medicare PIN
NJ0311677Medicaid