Active NPI
Mark Alan Reid, RRT
- Registered Respiratory Therapist
- Albuquerque, NM
National Provider Identifier
1366740086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 716
- Practice address
- 11216 Nassau Dr NE
Albuquerque, NM 87111-2655 - Phone
- (505) 294-4463
- Fax
- (505) 294-4250
- NPI assigned
- Mar 3, 2011
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Palliative/Hospice Certified Respiratory Therapist | 2278P3800X | 716 | NM | |
| Neonatal/Pediatric Certified Respiratory Therapist | 2278P3900X | 716 | NM | |
| Patient Transport Certified Respiratory Therapist | 2278P4000X | 716 | NM | |
| Registered Respiratory Therapist | 227900000X | 716 | NM | Primary |
| Critical Care Registered Respiratory Therapist | 2279C0205X | 716 | NM | |
| Emergency Care Registered Respiratory Therapist | 2279E0002X | 716 | NM | |
| Educational Registered Respiratory Therapist | 2279E1000X | 716 | NM | |
| General Care Registered Respiratory Therapist | 2279G1100X | 716 | NM | |
| Home Health Registered Respiratory Therapist | 2279H0200X | 716 | NM | |
| SNF/Subacute Care Registered Respiratory Therapist | 2279S1500X | 716 | NM |
Addresses
Primary practice location
11216 Nassau Dr NE
Albuquerque, NM 87111-2655
Mailing address
11216 Nassau Dr NE
Albuquerque, NM 87111-2655
Phone (505) 294-4463
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 |
|---|---|---|---|
| 716 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299110400000",
"number": "1366740086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11216 NASSAU DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112655",
"telephone_number": "505-294-4463",
"fax_number": "505-294-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11216 NASSAU DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112655",
"telephone_number": "505-294-4463",
"fax_number": "505-294-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "MARK",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-03",
"last_updated": "2011-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2278P3800X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Palliative/Hospice",
"state": "NM",
"license": "716",
"primary": false
},
{
"code": "2278P3900X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Neonatal/Pediatrics",
"state": "NM",
"license": "716",
"primary": false
},
{
"code": "2278P4000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Patient Transport",
"state": "NM",
"license": "716",
"primary": false
},
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "NM",
"license": "716",
"primary": true
},
{
"code": "2279C0205X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Critical Care",
"state": "NM",
"license": "716",
"primary": false
},
{
"code": "2279E0002X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Emergency Care",
"state": "NM",
"license": "716",
"primary": false
},
{
"code": "2279E1000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Educational",
"state": "NM",
"license": "716",
"primary": false
},
{
"code": "2279G1100X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, General Care",
"state": "NM",
"license": "716",
"primary": false
},
{
"code": "2279H0200X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Home Health",
"state": "NM",
"license": "716",
"primary": false
},
{
"code": "2279S1500X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, SNF/Subacute Care",
"state": "NM",
"license": "716",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.