MEDICARE: AYANNA REED RN

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	163W00000X	Registered Nurse	1037478	TX

General Provider Information

NPI Number	:	1386186963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYANNA REED RN

Provider Business Mailing Address
First Line	:	1600 TRAVIS CIR S
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-6247
Country	:	US
Telephone Number	:	636-385-2516
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 TRAVIS CIR S
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-6247
Country	:	US
Telephone Number	:	636-385-2516
Fax Number	:

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

Provider Enumeration Date	:	11/14/2016
Last Update Date	:	03/10/2026

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