Individual provider Active NPI

Tanya Simone Reed, MSN, FNP-C, MPH

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1700224979
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP123728 Issued in TX
Practice address
6300 W Parker Rd Ste 322
Plano, TX 75093-8103
Phone
(972) 939-8294
Fax
(214) 731-0240
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP123728 TX Primary

Addresses

Primary practice location

6300 W Parker Rd Ste 322
Plano, TX 75093-8103

Mailing address

6300 W Parker Rd Ste 322
Plano, TX 75093-8103
Phone (972) 939-8294

Other identifiers 1

IdentifierTypeStateIssuer
337564401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107003622 TX Order and Referring Only - Nurse Practitioner 0749408573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1700224979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD STE 322",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938103",
            "telephone_number": "972-939-8294",
            "fax_number": "214-731-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD STE 322",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938103",
            "telephone_number": "972-939-8294",
            "fax_number": "214-731-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "TANYA",
        "middle_name": "SIMONE",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP-C, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337564401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.