MRS. DEDRA RENEE REED (NPI# 1336287531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336287531 |
Entity Type | Individual |
Full Name | MRS. DEDRA RENEE REED |
Credential | CRNP |
Practice Address |
101 E I65 Service Rd S Mobile AL 36606-3900 |
Mailing Address |
7721 Flint Ridge Rd Mobile AL 36695-4120 |
Practice Telephone | 2514711105 |
Mailing Telephone | 2516339154 |
Enumeration Date | 2007-02-01 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-061642 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
101 E I65 SERVICE RD S |
City | MOBILE |
State | AL |
Zip Code | 36606-3900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366469645 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 101 E I65 Service Rd S, Mobile, AL 36606-3900 | 2006-07-16 |
1760975973 | Valdez Powe | Pharmacist | 101 E I65 Service Rd S, Mobile, AL 36606-3900 | 2018-06-12 |
1821337304 | Oic, LLC | Optometrist | 101 E I65 Service Rd S, Mobile, AL 36606-3900 | 2013-02-04 |
1811078280 | Wal-mart Stores East, Lp | Technician/Technologist | 101 E I65 Service Rd S, Mobile, AL 36606-3900 | 2006-10-18 |
1518065838 | Elizabeth Dube Weaver | Optometrist | 101 E I65 Service Rd S, Mobile, AL 36606-3900 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982216388 | Kaitlyn Culotta Dozier | Student in an Organized Health Care Education/Training Program | 936 Grant Park Drive, Mobile, AL 36606 | 2020-08-18 |
1902466758 | Gulf Coast Totalcare | Case Management | 3280 Dauphin Street, Building C, Suite 1, Mobile, AL 36606 | 2019-06-14 |
1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
1962987420 | Asra Bashir | Pharmacist | 101 East Interstate 65 Service Rd S, Mobile, AL 36606 | 2018-10-01 |
1902398274 | Tunisia London | Social Worker | 601 Bel Air Blvd Ste 411, Mobile, AL 36606 | 2018-06-03 |
1962925677 | Tasheka Janine Scott I | Nurse's Aide | 629 Crenshaw Street, Mobile, AL 36606 | 2017-07-25 |
1295128189 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1450 Tingle Circle West, Mobile, AL 36606 | 2015-03-17 |
1437441623 | Julia Marco Williams | Counselor | 605 Bel Air Blvd Ste 33, Mobile, AL 36606 | 2011-05-06 |
1235363516 | Jenny M Neese | Dietitian, Registered | 2504 Dauphin Street, Suite J, Mobile, AL 36606 | 2009-05-14 |
1609000223 | Bay Area Nutrition, Inc | Dietitian, Registered | 2029-b Airport Blvd, Suite 195, Mobile, AL 36606 | 2009-05-11 |
Find all providers in zip 36606 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083222145 | Robert Adam Vickrey | Nurse Practitioner | 1718 Hunters Ridge Dr W, Mobile, AL 36695-9246 | 2020-07-15 |
1588286850 | Brandie Nicole Banks | Nurse Practitioner | 320 Stanton Rd Apt 1517, Mobile, AL 36617-2481 | 2020-05-10 |
1215569249 | Lisa K. Morris | Nurse Practitioner | 5721 Usa Drive North Hahn 2044, Mobile, AL 36688-0001 | 2020-02-07 |
1679118525 | Hicks Home-based Primary Care, LLC | Nurse Practitioner | 1111 E I65 Service Rd S Ste 210, Mobile, AL 36606-3123 | 2019-11-14 |
1417504325 | Jamie Kathryn Turner | Nurse Practitioner | 13080 Oak Forge Dr, Mobile, AL 36608-8782 | 2019-08-25 |
1780142653 | Melissa Snow Bryan | Nurse Practitioner | 4937 Langham Pl, Mobile, AL 36619-5201 | 2019-03-08 |
1508322231 | Akiko Ishida Makino | Nurse Practitioner | 75 S University Blvd # 6000a, Mobile, AL 36608-3042 | 2019-02-19 |
1932674975 | Justin Blake Stokes | Nurse Practitioner | 2050 Michigan Ave., Mobile, AL 36615 | 2018-10-05 |
1821590647 | Charleen Jackson | Nurse Practitioner | 2423 Schillinger Rd S Ste 103, Mobile, AL 36695-4142 | 2018-03-07 |
1265949200 | Jennifer Jennings Davis | Nurse Practitioner | 2451 Fillingim Street Suite 10-i, Mobile, AL 36617-2293 | 2017-12-29 |
Find all providers in MOBILE |
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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.