NPI Code Detail JSON Logo

1740939222 NPI number — KERI RENE REED

NPI Number: 1740939222
Health Care Provider/Practitioner: KERI RENE REED

Information about “1740939222” NPI (KERI RENE REED) exists in 1740939222 in HTML format HTML  |  1740939222 in plain Text format TXT  |  1740939222 in PDF (Portable Document Format) PDF  |  1740939222 in an XML format XML  formats.

NPI Number : 1740939222 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740939222",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REED",
    "FirstName": "KERI",
    "MiddleName": "RENE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "173 SAINT PATRICKS DR STE 201",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WALDORF",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20603-5531",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-396-3401",
    "MailingAddressFaxNumber": "301-396-3404",
    "FirstLinePracticeLocationAddress": "26840 POINT LOOKOUT ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEONARDTOWN",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20650",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-475-8091",
    "PracticeLocationAddressFaxNumber": "301-475-6712",
    "EnumerationDate": "03/22/2022",
    "LastUpdateDate": "04/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "F0322058",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207N00000X",
          "TaxonomyName": "Dermatology Physician",
          "LicenseNumber": "F0322058",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.