Healthcare Provider Details

I. General information

NPI: 1548785074
Provider Name (Legal Business Name): RANARDA RENEE' REED FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2017
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 LANE ALLEN RD STE 219
LEXINGTON KY
40504-3659
US

IV. Provider business mailing address

1005 SWAN LN
COLUMBIA SC
29203-1342
US

V. Phone/Fax

Practice location:
  • Phone: 260-483-9081
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number71018276A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3016505
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5024381
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: