Healthcare Provider Details

I. General information

NPI: 1285402958
Provider Name (Legal Business Name): ASHLEE SHIANN REID WHNP, MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2023
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1456 FULTON ST
BROOKLYN NY
11216-2505
US

IV. Provider business mailing address

549 E 52ND ST
BROOKLYN NY
11203-5311
US

V. Phone/Fax

Practice location:
  • Phone: 718-636-4500
  • Fax:
Mailing address:
  • Phone: 929-225-5734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number421786
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number829539
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: