Reeder Vein Institute PA

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

D5822 Issued in TX

Legal business name

REEDER VEIN INSTITUTE PA

Practice address

7100 Oakmont Blvd Ste 204
Ft Worth, TX 76132-3911

Phone

(972) 566-3040

Fax

(682) 499-5921

NPI assigned

May 11, 2009

Organization subpart

No

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

Authorized official

Name

Judy R Cockburn

Title

Manager

Phone

(575) 770-4393

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17824/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1942434568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD STE 204",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761323911",
            "telephone_number": "972-566-3040",
            "fax_number": "682-499-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD STE 204",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761323911",
            "telephone_number": "972-566-3040",
            "fax_number": "682-499-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDER VEIN INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "COCKBURN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "575-770-4393"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Phlebology",
            "state": "TX",
            "license": "D5822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Reed, P.A.
• Matthew Reed
• Morgan Reed
• Nita Reagon Reed, O.T.R.
• Samantha Reed, FNP-BC
• Desirae J Reeder, MD
• Reedsignz Salon Co
• James Bregg Reedy, PA-C
• Nancy Jo Reedy, RN, CNM, MPH
• Reena Dental PLLC

• Phlebology Physician in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Phlebology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.