Healthcare Provider Details

I. General information

NPI: 1316721988
Provider Name (Legal Business Name): KAMRON RAYMONE REDDING DNAP, CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 FOREST GLEN RD
SILVER SPRING MD
20910-1460
US

IV. Provider business mailing address

8200 DIXON AVE APT 2030
SILVER SPRING MD
20910-3991
US

V. Phone/Fax

Practice location:
  • Phone: 240-997-2097
  • Fax:
Mailing address:
  • Phone: 240-997-2097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR247807
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1036534
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: