Teddy Christopher Reece

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

717 Alameda Blvd
Coronado, CA 92118-2013

Phone

(619) 435-3214

NPI assigned

Feb 25, 2020

Last updated

Feb 25, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1114551504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 UTAH ST APT 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163177",
            "telephone_number": "619-540-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ALAMEDA BLVD",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182013",
            "telephone_number": "619-435-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REECE",
        "first_name": "TEDDY",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "D8574116",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Private Healthcare Facilities
• PRRK Holdings LLC (Coronado Retirement Village)
• Sanjay M. Rajpara, MD
• Rana Ann Michi Ram, D.O.
• Amado Raymundo Jr.
• Kathleen A Reid, M.S., M.F.T.
• Preeti A. Reshamwala, MD
• Results Rehabilitation Inc
• Results Rehabilitation, Inc.
• Lucinda Ann Ribant, M.F.T.

• Attendant Care Provider in Coronado, CA
• Providers in Coronado, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.