JERRY KENNETH REED (NPI# 1659925725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659925725 |
| Entity Type | Individual |
| Full Name | JERRY KENNETH REED |
| Practice Address |
1415 Big Stone Gap Rd Duncanville TX 75137-2003 |
| Practice Telephone | 4692970430 |
| Practice Fax Number | 4697765200 |
| Mailing Telephone | 4692970430 |
| Mailing Fax Number | 4697765200 |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2019-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | 147168 | TX | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS STATE ASSISTED LIVING VENDOR/FACILITY ID | 106818 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073158630 | Jerry Lynn Reed Jr. | Nurse Practitioner | 7480 Ziegler Rd Ste 150, Chattanooga, TN 37421-4947 | 2019-11-07 |
| 1376893222 | Jerry Lynn Reed | Social Worker | 1085 Maple St, Farmington, MO 63640-1955 | 2012-09-18 |
| 1982800801 | Jerry Reed | Nurse Anesthetist, Certified Registered | 702 N Main St, Opp, AL 36467-1626 | 2007-06-26 |
| 1437236064 | Jerry W Reed | Physician Assistant | 1500 East Medical Center Dr, B1 Floor Cancer & Geriatrics Center Recp E, Ann Arbor, MI 48109-0916 | 2006-11-01 |
| 1073617312 | Jerry A Reed | Internal Medicine | 5401 South Street, Lincoln, NE 68506-2134 | 2006-09-08 |
| Street Address |
1415 BIG STONE GAP RD |
| City | DUNCANVILLE |
| State | TX |
| Zip Code | 75137-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824715 | Graceful Arms Senior Living LLC | Assisted Living Facility | 1415 Big Stone Gap Rd, Duncanville, TX 75137-2003 | 2019-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960100 | Smile By Smile Pllc | Dentist | 901 E Hwy 67 Plaza, Ste B, Duncanville, TX 75137 | 2020-04-03 |
| 1245874676 | Blessing Cordilia Egede | Registered Nurse | 150 E Hwy 67 Suite 180, Duncanville, TX 75137 | 2019-10-29 |
| 1770070914 | Andre Jermaine Twine | Specialist | 943 S Cedar Ridge Rd, Dallas, TX 75137 | 2018-04-13 |
| 1033509138 | James Steven Sollers | Dentist | 1402 South Clark Road, Duncanville, TX 75137 | 2015-01-27 |
| 1427456136 | Effective Therapy Solutions, LLC | Speech-Language Pathologist | 407 W. Danieldale Road, Suite 100, Duncanville, TX 75137 | 2014-12-11 |
| 1619303963 | Dallas Heart and Vascular Center, Pllc | Internal Medicine | 916 E Us Hwy 67, Duncanville, TX 75137 | 2013-09-18 |
| 1033432349 | Mary Koetting | Physician Assistant | 726 S. Cockrell Rd., Duncanville, TX 75137 | 2010-03-02 |
| 1265661078 | Charity T. Simmonds | Obstetrics & Gynecology | 939 Fairway Dr., Duncanville, TX 75137 | 2009-07-14 |
| 1073702718 | Mija Jackson Lee | Optometrist | 250 W. Hwy 67, Duncanville, TX 75137 | 2007-10-18 |
| 1386793701 | Lamantha Richardson | Nurse Practitioner | 407 W Danieldale Rd Ste 100, Duncanville, TX 75137 | 2007-01-09 |
| Find all providers in zip 75137 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419112 | Quelyndria Washington | Nursing Home Administrator | 11740 Northpointe Blvd Apt 706, Tomball, TX 77377-6081 | 2020-08-26 |
| 1528699592 | Katherine Ann Champion | Nursing Home Administrator | 4918 Mable St, Corpus Christi, TX 78411-4029 | 2020-01-29 |
| 1811552094 | Gilda Vasquez | Nursing Home Administrator | 3132 Moonlit Lake Cir, League City, TX 77573-5972 | 2019-05-03 |
| 1982268918 | Kelly Marie Ortiz | Nursing Home Administrator | 710 Shadowbrook Dr, Spring, TX 77380-2233 | 2019-04-25 |
| 1336622141 | Olanrewaju Awofeso | Nursing Home Administrator | 2818 Shady Ln, Tyler, TX 75702-7745 | 2018-09-09 |
| 1235615550 | Sinai Mountain Homecare | Nursing Home Administrator | 464 Cedarwood Ave, Horizon City, TX 79928-6582 | 2018-07-19 |
| 1851821763 | Brenda Joyce Cunningham | Nursing Home Administrator | 1798 Strickland Ln, Eagle Lake, TX 77434-7082 | 2017-06-13 |
| 1962936187 | Heidi Mckay | Nursing Home Administrator | 3424 Tempest Ln, Oak Point, TX 75068-3319 | 2017-04-13 |
| 1083148449 | Mashanda Deshazer | Nursing Home Administrator | 10807 Misty River Dr, Houston, TX 77086-1919 | 2017-04-12 |
| 1205216470 | Deshun Stanley | Nursing Home Administrator | 13108 Grantham Ridge Ct, Rosharon, TX 77583 | 2015-06-03 |
| Find all providers with the same taxonomy | ||||
| City | DUNCANVILLE |
| Zip Code | 75137 |
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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.