Healthcare Provider Details

I. General information

NPI: 1205752052
Provider Name (Legal Business Name): JONATHAN JAMES REED PMHNP-BC APN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 BURNETT DR UNIT 4
DURANGO CO
81301-7790
US

IV. Provider business mailing address

2505 BORREGO DR
DURANGO CO
81301-5806
US

V. Phone/Fax

Practice location:
  • Phone: 970-769-0131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN-1002042-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: