TRACEY REEVE PA-C NPI 1174789994

NPI Information

NPI: 1174789994
Provider Name: TRACEY REEVE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
520 S EAGLE RD STE 1241
MERIDIAN, ID
ZIP 83642
Phone: (208) 381-6930
Get Directions

Tracey Reeve, PA-C is a surgical physician assistant in Meridian, ID with 16 years of experience. Tracey Reeve, PA-C NPI is 1174789994. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

520 S EAGLE RD STE 1241
MERIDIAN, ID
ZIP 83642-355
Phone: (208) 381-6930
Fax: (208) 381-6931

The NPI 1174789994 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2008 and was last updated on 8/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA-1159	IDAHO	Yes
2	363AS0400X	Physician Assistant	Surgical	PA156906	OREGON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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