RENETTA REEVES MD NPI 1386880698

NPI Information

  • NPI: 1386880698
  • Provider Name: RENETTA REEVES, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 4500 S 129TH EAST AVE
    SUITE 191
    TULSA, OK
    ZIP 74134
  • Phone: (800) 993-8244

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NPI Details

Renetta Reeves, MD is a family medicine in Tulsa, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Renetta Reeves, MD NPI is 1386880698. 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:

4500 S 129TH EAST AVE
SUITE 191
TULSA, OK
ZIP 74134-801
Phone: (800) 993-8244

The enumeration date for this NPI number is 12/17/2008 and was last updated on 4/23/2015.

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
1207QA0505XFamily MedicineAdult MedicineME 62145FLORIDANo
2207Q00000XFamily Medicine16980OKLAHOMAYes

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
117769ZOTHERFLORIDAMEDICARE PTAN

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: 11/21/2025

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