Provider Demographics
NPI:1093429631
Name:REID, BARRAE J
Entity Type:Individual
Prefix:
First Name:BARRAE
Middle Name:J
Last Name:REID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1254 MEIGS PL NE APT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-2487
Mailing Address - Country:US
Mailing Address - Phone:202-961-3096
Mailing Address - Fax:
Practice Address - Street 1:3600 B ST SE APT 320
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-7327
Practice Address - Country:US
Practice Address - Phone:202-961-3096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant