MEDICARE: MR. KIRBY REED FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	673504	TX

General Provider Information

NPI Number	:	1366418519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KIRBY REED FNP

Provider Business Mailing Address
First Line	:	120 LONG WOOD AVE
Second Line	:
City	:	LAKEWAY
State	:	TX
Zip	:	78734-4650
Country	:	US
Telephone Number	:	512-920-5256
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 CANYON RIDGE DR
Second Line	:	SUITE J350
City	:	AUSTIN
State	:	TX
Zip	:	78753-1632
Country	:	US
Telephone Number	:	512-920-5256
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	06/26/2014

Similar Medicare Providers

1588906168 — VINOD KONDRAGUNTA
Practice Location Address:

500 CANYON RIDGE DR STE 208
AUSTIN, TX
78753-1632

Practice Phone: 512-654-7800
Practice Fax:

1760131064 — DR. ELLEN GAUDET URRUTIA DO
Practice Location Address:

500 CANYON RIDGE DR STE 208
AUSTIN, TX
78753-1632

Practice Phone: 512-654-7800
Practice Fax: 512-654-7801

1457465791 — LESTER R KITCHEN OPTOMETRIST INC
Practice Location Address:

500 CANYON RDG , SUITE L-350
AUSTIN, TX
78753-1632

Practice Phone: 512-837-3200
Practice Fax: 512-837-3206

1215162672 — NICOLE CHRISTINE STAVINOHA-PETTIT P.T.
Practice Location Address:

500 CANYON RIDGE DR , SUITE B-150
AUSTIN, TX
78753-1632

Practice Phone: 512-596-0566
Practice Fax: 512-596-0567

1720305634 — ANITA JENSON RPH
Practice Location Address:

500 CANYON RIDGE DR
AUSTIN, TX
78753-1632

Practice Phone: 512-973-8753
Practice Fax: 512-973-9697

1437476256 — TODD ELLSWORTH RPH
Practice Location Address:

500 CANYON RIDGE DR
AUSTIN, TX
78753-1632

Practice Phone: 512-973-8753
Practice Fax: 512-973-9697

Directions to “ MR. KIRBY REED FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.