Organization Active NPI

Tracy M Reed, DPM,LLC

  • Podiatrist
  • Saint Louis, MO
National Provider Identifier
1285828558
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000797 Issued in MO
Legal business name
TRACY M REED, DPM,LLC
Practice address
5937 W Florissant Ave
Saint Louis, MO 63136-4952
Phone
(314) 381-2224
Fax
(314) 381-1771
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Dr. Tracy Maria Reed, DPMNPI 1871593178
Title
Owner
Phone
(314) 381-2224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 000797 MO Primary

Addresses

Primary practice location

5937 W Florissant Ave
Saint Louis, MO 63136-4952

Mailing address

5937 W Florissant Ave
Saint Louis, MO 63136-4952
Phone (314) 381-2224

Other identifiers 1

IdentifierTypeStateIssuer
4810960001OtherMOMEDICAID DMERC

National Provider Directory

National Provider Directory

Locations

5937 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 381-2224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1285828558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5937 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364952",
            "telephone_number": "314-381-2224",
            "fax_number": "314-381-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5937 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364952",
            "telephone_number": "314-381-2224",
            "fax_number": "314-381-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY M REED, DPM,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-381-2224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "000797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DMERC",
            "identifier": "4810960001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.