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MR. THOMAS RANDALL REARDON RN MS NP(C) NPI 1174817423


NPI Information

NPI: 1174817423
Provider Name: MR. THOMAS RANDALL REARDON, RN, MS, NP(C)
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
HIGHWAY 160
MILE POST 394.3
KAYENTA, AZ
ZIP 86033
Phone: (928) 697-4120
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MR. Thomas Randall Reardon, RN, MS, NP(C) is a family nurse practitioner in Kayenta, AZ with 14 years of experience. MR. Thomas Randall Reardon, RN, MS, NP(C) NPI is 1174817423. 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:

HIGHWAY 160
MILE POST 394.3
KAYENTA, AZ
ZIP 86033-368
Phone: (928) 697-4120
Fax: (928) 697-4083

The NPI 1174817423 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Automated urinalysis test (HCPCS:81003)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 6/3/2011 and was last updated on 2/1/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseRN089784GEORGIANo
2163WG0000XRegistered NurseGeneral PracticeRN207769ARIZONANo
3363LF0000XNurse PractitionerFamilyAP10252ARIZONAYes
4363LF0000XNurse PractitionerFamilyRN089784GEORGIANo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.