Ryan Reeb, AGNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP08244 Issued in LA

Practice address

60491 Doss Dr Ste D
Slidell, LA 70460-4972

Phone

(985) 690-6920

Fax

(985) 690-6933

NPI assigned

Jul 8, 2015

Last updated

Jul 8, 2015By 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 2

Addresses

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1235512252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18074 DERBES DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704330337",
            "telephone_number": "702-379-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60491 DOSS DR STE D",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704604972",
            "telephone_number": "985-690-6920",
            "fax_number": "985-690-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEB",
        "first_name": "RYAN",
        "credential": "AGNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP08244",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "LA",
            "license": "AP08244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Konda Devender Reddy, M.D.
• Syamala H.K. Reddy, M.D.,
• Gianna Marie Redmond, RDN, LDN
• Jeff S Redmond, M.D.
• Juan N Redmond
• Casey Daste Reed, M.D.
• Hunter Reed
• Keegan Reese, M.S., BCBA, LBA
• Kristie Leah Reine, DDS
• Rejuven8 Health & Wellness, LLC

• Adult Health Nurse Practitioner in Slidell, LA
• Providers in Slidell, LA by specialty
• Adult Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.