Athena Elaine Reed

Primary specialty

DriverTaxonomy code 172A00000X

License

C4162836 Issued in CA

Practice address

The 800 J Street
Unit 528
Sacramento, CA 95814-2521

Phone

(916) 617-0039

NPI assigned

Aug 11, 2021

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

Other names 1

• Mrs. Athena Elaine Reed Other name

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": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1083389191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE 800 J STREET",
            "address_2": "UNIT 528",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958142521",
            "telephone_number": "916-617-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE 800 J STREET",
            "address_2": "UNIT 528",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958142521",
            "telephone_number": "916-617-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "ATHENA",
        "middle_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "C4162836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ATHENA",
            "last_name": "REED",
            "middle_name": "ELAINE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rhonda L Reece, BSN, RN, PHN
• Ajay Casey Reed, LMFT
• Alisha Reed
• Amy Reed
• Analisa Reed, AU.D., CCC-A
• Breann Ashley Reed, AA
• Donna L Reed, LMFT
• Douglas Brent Reed, M.D.
• Essence Elizabeth Reed
• Evan Reed, PHARMD

• Driver in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.