Active NPI
Reid Kevin Hester, PHD
- Psychologist
- Albuquerque, NM
National Provider Identifier
1073611372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 242
- Practice address
- 9426 Indian School Rd NE
Ste 1
Albuquerque, NM 87112 - Phone
- (505) 345-6100
- Fax
- (505) 345-6100
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 242 | NM | Primary |
Addresses
Primary practice location
9426 Indian School Rd NE
Ste 1
Albuquerque, NM 87112
Mailing address
9426 Indian School Rd NE
Ste 1
Albuquerque, NM 87112
Phone (505) 345-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N6598 | Medicaid | NM |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073611372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9426 INDIAN SCHOOL RD NE",
"address_2": "STE 1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87112",
"telephone_number": "505-345-6100",
"fax_number": "505-345-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9426 INDIAN SCHOOL RD NE",
"address_2": "STE 1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87112",
"telephone_number": "505-345-6100",
"fax_number": "505-345-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESTER",
"first_name": "REID",
"middle_name": "KEVIN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N6598",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.