Patricia Alexis Reed, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

200785 Issued in LA

Practice address

3715 Williams Blvd
Suite 100
Kenner, LA 70065-3075

Phone

(504) 465-4550

Fax

(504) 465-8590

NPI assigned

Jan 23, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nola Dermatology

  • Dermatology Physician
  • Metairie, LA
  • NPI 1629769138
  NPD (past)
• Shapiro Dimitri Medical, LLC

  • Dermatology Physician
  • Meridian, MS
  • NPI 1124373030
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1013307461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 GAUSE BLVD W",
            "address_2": "STE. A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704604130",
            "telephone_number": "985-643-4575",
            "fax_number": "985-643-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 WILLIAMS BLVD",
            "address_2": "SUITE 100",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653075",
            "telephone_number": "504-465-4550",
            "fax_number": "504-465-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "PATRICIA",
        "middle_name": "ALEXIS",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geneice Rayneri
• Marciano Raziano, FNP-C
• Rebirth Chiropractic LLC
• Red Elephant Therapy and Consultations LLC
• Rebecca Cortez Redler, RN
• Rene Reed, LMT, MLD-C, CPT
• Regine Dyer DDS,LLC & Matthew Henson DDS, LLC
• Lee Ann Reilly
• Reliant Renal Care Kenner Home Choice, LLC
• Renfro & Associates, LLC

• Physician Assistant in Kenner, LA
• Providers in Kenner, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.