Kelsey Nicole Reid, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12277 Issued in TX

Practice address

3715 21St St
Lubbock, TX 79410-1219

Phone

(806) 319-5211

NPI assigned

Sep 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Brorman Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rodney T Franklin, MD, PA

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1346373289
  NPD
• Cornerstone OB-GYN PLLC

  • Obstetrics & Gynecology Physician
  • Lubbock, TX
  • NPI 1881323855
  NPD (past)

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1760964670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 21ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101219",
            "telephone_number": "806-319-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 21ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101219",
            "telephone_number": "806-319-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "KELSEY",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "BRORMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rehabilitation Services -School of Allied Health Sciences
• Fazal Ur Rehman
• Saif Ur Rehman
• James Justin Reid, MD
• Kary Steven Reid, PH.D.
• Kimberly Elise Reid
• Kassidy Rekieta, PHD
• Reliable Arrhythmia Monitoring Services
• Monica Relvas, M.D.
• Michelle Alison Ren, PHARMD

• Physician Assistant in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.