Active NPI
Brock Reed, RN
- Case Management Registered Nurse
- Taos, NM
National Provider Identifier
1164022562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN185966
- Practice address
- 1090 Goat Springs Road
Taos, NM 87571-1946 - Phone
- (575) 758-6966
- Fax
- (575) 751-5214
- NPI assigned
- Oct 27, 2020
- 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN185966 | AZ | Primary |
Addresses
Primary practice location
1090 Goat Springs Road
Taos, NM 87571-1946
Mailing address
P O Box 1946
Taos, NM 87571-1094
Phone (575) 758-6966
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN185966 | AZ | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1164022562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 1946",
"city": "TAOS",
"state": "NM",
"postal_code": "875711094",
"telephone_number": "575-758-6966",
"fax_number": "575-751-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 GOAT SPRINGS ROAD",
"city": "TAOS",
"state": "NM",
"postal_code": "875711946",
"telephone_number": "575-758-6966",
"fax_number": "575-751-5214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "BROCK",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-27",
"last_updated": "2020-10-27",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "AZ",
"license": "RN185966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.