Tyrone Reid

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

269486 Issued in NY

Practice address

4133 Dewey Ave
Rochester, NY 14616-1214

Phone

(585) 405-4858

NPI assigned

Jul 28, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1710613005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 DEWEY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161214",
            "telephone_number": "585-405-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 DEWEY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161214",
            "telephone_number": "585-405-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "TYRONE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-28",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "NY",
            "license": "269486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Amelia Reid, ANP
• Jennifer Elseta Reid, GNP
• Leigh Ann Reid, PHARMD
• Patrick J. Reid, M.D.
• Robin M Reid, M.D.
• Timothy Reidlinger, MD
• Alexandra Reidmiller, RN
• Adrien W Reidy, PT, DPT
• James P Reidy, MD
• M. Bernadette Reidy, PH.D

• Licensed Vocational Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Vocational Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.