MS. TELESA ANDREA REDDICK (NPI# 1871030445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871030445 |
| Entity Type | Individual |
| Full Name | MS. TELESA ANDREA REDDICK |
| Credential | CERTIFIED HAIR LOSS |
| Practice Address |
1407 22nd Street South St Pete FL 33712 |
| Mailing Address |
2254 21 Av South St Pete FL 33712 |
| Practice Telephone | 8138638477 |
| Mailing Telephone | 8138638477 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| Street Address |
1407 22ND STREET SOUTH |
| City | ST PETE |
| State | FL |
| Zip Code | 33712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663616 | Courtney Nicole West | Community Health Worker | 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 | 2019-01-15 |
| 1053820266 | Tameka Flowers | Nurse Practitioner | 1719 Dayton Street South, Saint Petersburg, FL 33712 | 2017-09-20 |
| 1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1700217239 | Crystal Eva | Adult Companion | 2132 68th Ter S, St Petersburg, FL 33712 | 2013-12-10 |
| 1144598152 | Tien Minh Tran | Pharmacist | 3350 Central Avenue, St Petersburg, FL 33712 | 2011-12-05 |
| 1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1225216260 | Charlie Waller Colquitt | Pharmacist | 1344 22nd St So, St Petersburg, FL 33712 | 2008-02-01 |
| 1942359070 | Acupuncture & Herbal Therapies | Massage Therapist | 2520 Central Ave., St. Petersburg, FL 33712 | 2007-01-09 |
| Find all providers in zip 33712 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337958 | Rasheda Juandrell Tyson | Specialist | 2702 Massachusetts Ave Apt 185, Pensacola, FL 32505-3475 | 2020-05-14 |
| 1285262352 | Narotique Beauty Bar | Specialist | 20401 Nw 2nd Ave Ste 208, Miami, FL 33169-2572 | 2020-04-01 |
| 1710526892 | Tavia Sevon Richards | Specialist | 12414 Touchton Dr Apt 95, Tampa, FL 33617-1544 | 2020-01-06 |
| 1427696905 | Vanessa Lisa Gaspard | Specialist | 355 Ne 159th St, Miami, FL 33162-5007 | 2019-12-16 |
| 1720622798 | Cesar A Brito | Specialist | 744 W Brandon Blvd, Brandon, FL 33511-4902 | 2019-11-03 |
| 1316598303 | Rashawnda Thomas | Specialist | 4110 Sw 34th St Ste 22, Gainesville, FL 32608-6529 | 2019-09-22 |
| 1891352795 | Calandra Sands | Specialist | 801 S Dixie Hwy W Ste 5, Pompano Beach, FL 33060-8263 | 2019-05-26 |
| 1265990865 | Ashley Simone Kitchens | Specialist | 1418 E Busch Blvd, Tampa, FL 33612-8656 | 2019-03-04 |
| 1457819070 | Aramis Tylise Hamilton | Specialist | 1514 S Alexander St Ste 207, Plant City, FL 33563-8418 | 2019-03-04 |
| 1356805642 | Olajide A Wilkerson | Specialist | 540 Nw 165th Street Rd Ste 109, Miami, FL 33169-6304 | 2019-01-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. TELESA ANDREA REDDICK.
| 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.