Active NPI
Kurtis Reed, CRNA
- Certified Registered Nurse Anesthetist
- Long Beach, CA
National Provider Identifier
1861827636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95000025
- Practice address
- 4308 Pepperwood Ave
Long Beach, CA 90808-1346 - Phone
- (513) 571-1634
- NPI assigned
- Sep 11, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 795608 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 95000025 | CA | Primary |
Addresses
Primary practice location
4308 Pepperwood Ave
Long Beach, CA 90808-1346
Mailing address
4308 Pepperwood Ave
Long Beach, CA 90808-1346
Phone (513) 571-1634
Other practice location 1
2909 Via Corbina
San Clemente, CA 92672-3620
Phone (513) 571-1634
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)
- Enrolled
- Credentials
- Certified Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1861827636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4308 PEPPERWOOD AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908081346",
"telephone_number": "513-571-1634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4308 PEPPERWOOD AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908081346",
"telephone_number": "513-571-1634"
}
],
"practiceLocations": [
{
"address_1": "2909 Via Corbina",
"address_purpose": "LOCATION",
"city": "San Clemente",
"state": "CA",
"postal_code": "926723620",
"country_code": "US",
"telephone_number": "513-571-1634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REED",
"first_name": "KURTIS",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-11",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "795608",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95000025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.