DEREK LEE REEDER APRN NPI 1457751091

NPI Information

NPI: 1457751091
Provider Name: DEREK LEE REEDER, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: COMMONWEALTH HEALTH CORPORATION INC

PECOS Registration: Yes

Address:
720 2ND AVE
BOWLING GREEN, KY
ZIP 42101
Phone: (270) 745-1263
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Derek Lee Reeder, APRN is a family nurse practitioner in Bowling Green, KY with 10 years of experience. Derek Lee Reeder, APRN NPI is 1457751091. 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:

720 2ND AVE
BOWLING GREEN, KY
ZIP 42101-778
Phone: (270) 745-1263
Fax: (270) 796-2528

The NPI 1457751091 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 9/2/2014 and was last updated on 3/6/2017.

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	363L00000X	Nurse Practitioner		3008900	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	3008900	KENTUCKY	Yes

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: 11/14/2023

NPI Synchronization or Removal

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