Healthcare Provider Details

I. General information

NPI: 1558514570
Provider Name (Legal Business Name): SAMANTHA LEIGH REED NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMANTHA LEIGH POWERS NP

II. Dates (important events)

Enumeration Date: 11/04/2008
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 MEDICAL CENTER CIR STE 220
MAYFIELD KY
42066-1194
US

IV. Provider business mailing address

PO BOX 636961
CINCINNATI OH
45263-6961
US

V. Phone/Fax

Practice location:
  • Phone: 270-251-4090
  • Fax: 270-251-4091
Mailing address:
  • Phone: 513-981-5130
  • Fax: 513-981-5015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3005812
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number3005812
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: