TIFFANY N REID PA NPI 1710265053

NPI Information

NPI: 1710265053
Provider Name: TIFFANY N REID, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
3 AUDUBON PLAZA DR
STE. 560
LOUISVILLE, KY
ZIP 40217
Phone: (502) 636-8004
Get Directions

Tiffany N Reid, PA is a surgical physician assistant in Louisville, KY with 13 years of experience. Tiffany N Reid, PA NPI is 1710265053. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3 AUDUBON PLAZA DR
STE. 560
LOUISVILLE, KY
ZIP 40217-300
Phone: (502) 636-8004

The NPI 1710265053 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 8/3/2011 and was last updated on 12/2/2011.

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	363AM0700X	Physician Assistant	Medical	10001296A	INDIANA	No
2	363AS0400X	Physician Assistant	Surgical	10001296A	INDIANA	No
3	363AS0400X	Physician Assistant	Surgical	TC024	KENTUCKY	No
4	363AS0400X	Physician Assistant	Surgical	PA1644	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K021770	OTHER	KENTUCKY	MEDICARE PTAN- NORTON CTS

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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