Active NPI
Kyran Nathaniel Reid
- Behavior Technician
- Greenwell Springs, LA
National Provider Identifier
1457192973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6685 Sullivan Rd
Greenwell Springs, LA 70739-3112 - Phone
- (225) 302-3230
- NPI assigned
- Jun 6, 2024
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | LA | Primary |
Addresses
Primary practice location
6685 Sullivan Rd
Greenwell Springs, LA 70739-3112
Mailing address
6685 Sullivan Rd
Greenwell Springs, LA 70739-3112
Phone (225) 302-3230
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1457192973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6685 SULLIVAN RD",
"city": "GREENWELL SPRINGS",
"state": "LA",
"postal_code": "707393112",
"telephone_number": "225-302-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6685 SULLIVAN RD",
"city": "GREENWELL SPRINGS",
"state": "LA",
"postal_code": "707393112",
"telephone_number": "225-302-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "KYRAN",
"middle_name": "NATHANIEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwell Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.