Active NPI
Tyrone Reed
- Driver
- Fresno, TX
National Provider Identifier
1356879811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 007520156
- Practice address
- 4411 Long Creek Dr
Fresno, TX 77545-6063 - Phone
- (713) 999-1272
- NPI assigned
- May 30, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | 007520156 | LA | Primary |
Addresses
Primary practice location
4411 Long Creek Dr
Fresno, TX 77545-6063
Mailing address
PO Box 651
Manvel, TX 77578-0651
Phone (713) 999-1272
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007520156 | LA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roni Enterprises LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Private Vehicle
- Fresno, TX
- NPI 1619499027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496102400000",
"number": "1356879811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 651",
"city": "MANVEL",
"state": "TX",
"postal_code": "775780651",
"telephone_number": "713-999-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 LONG CREEK DR",
"city": "FRESNO",
"state": "TX",
"postal_code": "775456063",
"telephone_number": "713-999-1272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "TYRONE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-30",
"last_updated": "2017-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "LA",
"license": "007520156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.