Active NPI
Zachary William Reed
- Driver
- Crossville, TN
National Provider Identifier
1386989309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 092888479
- Practice address
- 122 Flossmoor Cir
Crossville, TN 38558-7700 - Phone
- (931) 200-1828
- NPI assigned
- Dec 3, 2012
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | 092888479 | TN | Primary |
Addresses
Primary practice location
122 Flossmoor Cir
Crossville, TN 38558-7700
Mailing address
122 Flossmoor Cir
Crossville, TN 38558-7700
Phone (931) 200-1828
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 |
|---|---|---|---|
| 092888479 | TN | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356393600000",
"number": "1386989309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 FLOSSMOOR CIR",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385587700",
"telephone_number": "931-200-1828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 FLOSSMOOR CIR",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385587700",
"telephone_number": "931-200-1828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "ZACHARY",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-03",
"last_updated": "2012-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "TN",
"license": "092888479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.