Elizabeth Reaves

Primary specialty

SpecialistTaxonomy code 174400000X

License

5101 Issued in AZ

Practice address

11279 W Grier Rd Ste 114
Marana, AZ 85653-9609

Phone

(520) 682-4754

NPI assigned

Aug 6, 2014

Last updated

Aug 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1013326875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11279 W GRIER RD STE 114",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856539609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11279 W GRIER RD STE 114",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856539609",
            "telephone_number": "520-682-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVES",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "5101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Pristach-Patrick, FNP-BC
• John Prohaska, LCSW
• Raquel Ramirez, LISAC
• Melanie Lynne Randall, MS, CCC-SLP
• Heather Raney, M.S., CCC-SLP
• Gregory J Redding, PHARMD.
• Chad Eugene Reed, P.T.
• Chelsea Richards, LPC
• Jordyn Rippberger, RDH
• Megan Ritchey, PMHNP

• Specialist in Marana, AZ
• Providers in Marana, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.