Individual provider Active NPI

Rosieleetta Reed

  • Private Vehicle
  • Mansfield, TX
National Provider Identifier
1497260954
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
12757489 Issued in TX
Practice address
7605 Retta Mansfield Rd
Mansfield, TX 76063-4111
Phone
(214) 980-6138
Fax
(888) 617-5238
NPI assigned
Dec 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X 12757489 TX Primary

Addresses

Primary practice location

7605 Retta Mansfield Rd
Mansfield, TX 76063-4111

Mailing address

7605 Retta Mansfield Rd
Mansfield, TX 76063-4111
Phone (214) 980-6138

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

LicenseStateTypeSpecialty
12757489TXMDPrivate Vehicle

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1497260954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 RETTA MANSFIELD RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634111",
            "telephone_number": "214-980-6138",
            "fax_number": "888-617-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 RETTA MANSFIELD RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634111",
            "telephone_number": "214-980-6138",
            "fax_number": "888-617-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "ROSIELEETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "TX",
            "license": "12757489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.