Healthcare Provider Details

I. General information

NPI: 1326965815
Provider Name (Legal Business Name): TAMU K REID
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4040 E BROAD ST
COLUMBUS OH
43213-1156
US

IV. Provider business mailing address

6555 ROBIN REED DR APT 103
WESTERVILLE OH
43081-6669
US

V. Phone/Fax

Practice location:
  • Phone: 614-705-2767
  • Fax:
Mailing address:
  • Phone: 614-584-0001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN.176781.MEDS-IV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: