Kathleen Redden, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1282 Issued in OK

Practice address

BLDG 2496 Ricker Road
SFMC
Ft. Bliss, TX 79916

Phone

(915) 569-2930

NPI assigned

Aug 15, 2005

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)

Not enrolled

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104828524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E REDD RD",
            "address_2": "#K522",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799127359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 2496 RICKER ROAD",
            "address_2": "SFMC",
            "city": "FT. BLISS",
            "state": "TX",
            "postal_code": "79916",
            "telephone_number": "915-569-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDEN",
        "first_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Taylor Raver, DMD
• Dylan Harris Ray, NRP
• Joshua Davey Read, DO
• Joshua J Read
• Michael Alan Redd, D.O.
• Lindsey M Redig, DO
• Jeffrey L Reha, MD
• Respira, Inc.
• Alicia Rider
• Elizabeth Rose Ridge-Burke, DO

• Physician Assistant in Ft. Bliss, TX
• Providers in Ft. Bliss, TX by specialty
• Physician Assistant in Texas

• 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.

Verify at the official NPI Registry.