Individual provider Active NPI

John Reeder, PARAMEDIC

  • Paramedic
  • Galveston, TX
National Provider Identifier
1033806476
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
743513 Issued in TX
Practice address
2005 Post Office St
Galveston, TX 77550-2096
Phone
(409) 261-7750
NPI assigned
Apr 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 743513 TX Primary

Addresses

Primary practice location

2005 Post Office St
Galveston, TX 77550-2096

Mailing address

3107 Pine St
Galveston, TX 77551-1545
Phone (409) 261-7750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
743513TXMDParamedic

Practice roles

OrganizationSpecialtyStatusNew patients
Third Coast Aesthetics and Wellness CurrentSince Sep 1, 2024 Accepting new patients

Locations

2005 Post Office St
Galveston, TX 77550
Phone (409) 203-7782

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1033806476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 PINE ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511545",
            "telephone_number": "409-261-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 POST OFFICE ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775502096",
            "telephone_number": "409-261-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDER",
        "first_name": "JOHN",
        "credential": "PARAMEDIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "TX",
            "license": "743513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.